Individual
TIMOTHY ADAM BOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2161 LEONARD ST NW, GRAND RAPIDS, MI 49504-3829
(616) 453-7715
(616) 735-0633
Mailing address
1060 WALKER AVE NW, GRAND RAPIDS, MI 49504-4375
(616) 774-3967
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
04/09/2008
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