Individual
MICHAEL PATRICK BOLTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 ROBIN RD, LEXINGTON, SC 29073-9413
(843) 253-6781
Mailing address
212 ROBIN RD, LEXINGTON, SC 29073-9413
(843) 253-6781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2874
SC
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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