Individual
MRS. GINA M BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5760
(716) 631-1516
Mailing address
12740 KOEPSEL RD, AKRON, NY 14001-9628
(716) 442-5442
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020181-1
NY
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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