Kelly Bolen

NPI #1326477399 in Milford, Ohio

Provider Information

NPI Number: 1326477399
Entity Type: Individual
Name: Kelly Bolen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 10, 2013
Last Updated: Nov 10, 2013

Practice Location

Address: 5900 MEADOW CREEK DR
City: Milford
State: Ohio
ZIP Code: 45150-5641
Phone: (513) 248-1655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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