Individual
COREY PATRICK BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LOTR
Contact information
Practice address
95 E PARK PL, NEW ORLEANS, LA 70124-3709
(504) 810-9466
Mailing address
95 E PARK PL, NEW ORLEANS, LA 70124-3709
(504) 810-9466
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200130
LA
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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