Individual
ANNA BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
929 W FOSTER AVE, CHICAGO, IL 60640-1491
(773) 433-1800
Mailing address
400 N MCCLURG CT APT 2215, CHICAGO, IL 60611-4343
(913) 707-4343
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
11-05383
KS
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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