Individual
CHRISTOPHER DION BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3535 KIRBY PKWY, MEMPHIS, TN 38115-3721
(901) 365-3665
Mailing address
3535 KIRBY PKWY, MEMPHIS, TN 38115-3721
(901) 365-3665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3600
TN
Other
Enumeration date
06/28/2021
Last updated
06/29/2021
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