Individual
MANDOLYN HARVEY-BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1500 PRIDE AVE, MADISONVILLE, KY 42431-9157
(270) 821-1813
Mailing address
1500 PRIDE AVE, MADISONVILLE, KY 42431-9157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008872
KY
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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