Individual
DALTON JARED BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2011 YORK RD STE 1500, OAK BROOK, IL 60523-2156
(877) 632-6637
(708) 409-5179
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
(877) 632-6637
(708) 409-5179
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070028907
IL
225100000X
Physical Therapist
096848
IA
Other
Enumeration date
08/12/2019
Last updated
05/06/2025
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