Marc Boults

NPI #1033416631 in Brandon, Florida

Provider Information

NPI Number: 1033416631
Entity Type: Individual
Name: Marc Boults
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 16, 2011
Last Updated: Apr 17, 2014

Practice Location

Address: 602 VONDERBURG DR
Address 2: SUITE 201
City: Brandon
State: Florida
ZIP Code: 33511-5900
Phone: (863) 617-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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