Individual
MAX BOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1051 BRIGHTSEAT RD, LANDOVER, MD 20785-3738
(240) 487-4400
Mailing address
8028 RITCHIE HWY, PASADENA, MD 21122-1075
(410) 766-1995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
A02662
MD
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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