Individual
KALI BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12750 HEZEL LN, SAINT LOUIS, MO 63141-6375
(314) 960-1184
Mailing address
12750 HEZEL LN, SAINT LOUIS, MO 63141-6375
(314) 960-1184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1304990
TX
225100000X
Physical Therapist
18154
NC
225100000X
Physical Therapist
Primary
2018044340
MO
225100000X
Physical Therapist
CP000067T
MS
Other
Enumeration date
12/17/2018
Last updated
12/30/2018
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