Individual
STEPHANIE MICHELLE BOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1566
(202) 877-1113
Mailing address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1566
(202) 877-1113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT871341
DC
Other
Enumeration date
07/06/2012
Last updated
12/16/2019
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