Individual
DANIEL PATRICK BOLTON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3419 W 12600 S, RIVERTON, UT 84065-7265
(801) 693-3941
(866) 379-5965
Mailing address
1606 PIPKIN CV, RIVERTON, UT 84065-4009
(801) 693-3941
(866) 379-5965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100132-4201
UT
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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