Organization
B-COMPLETE THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE L BOLDEN OT (OWNER)
(850) 253-5949
Entity
Organization
Contact information
Practice address
3973 NW BAILEY GRADE RD, GREENVILLE, FL 32331-4502
(185) 025-3594
Mailing address
3973 NW BAILEY GRADE RD, GREENVILLE, FL 32331-4502
(185) 025-3594
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024395400
—
FL
Enumeration date
01/03/2020
Last updated
02/26/2020
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