Individual
DR. ANDREW BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
9055 SPRINGBROOK DR NE, COON RAPIDS, MN 55433
(763) 236-1050
Mailing address
18560 EVERGLADE DR NE, EAST BETHEL, MN 55092-9519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8768
MN
Other
Enumeration date
07/20/2011
Last updated
07/26/2021
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