Individual
MRS. STEPHANIE ANN BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1009 W WELTER DR, LINCOLN, NE 68522-1871
(402) 314-2475
Mailing address
1009 W WELTER DR, LINCOLN, NE 68522-1871
(402) 314-2475
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
714
NE
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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