Edward Bolt
NPI #1215313630 in St Simons Island, Georgia
Provider Information
- NPI Number
- 1215313630
- Entity Type
- Individual
- Name
- Edward Bolt
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 7, 2015
- Last Updated
- Jan 30, 2018
Practice Location
- Address
- 212 RETREAT VLG STE 212
- City
- St Simons Island
- State
- Georgia
- ZIP Code
- 31522-2403
- Phone
- (912) 638-1444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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