MR. Gregory Eugene Bolt, PTA

NPI #1598773012 in Loudon, Tennessee

Provider Information

NPI Number: 1598773012
Entity Type: Individual
Name: MR. Gregory Eugene Bolt, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 101 CHEROKEE PL # 107
City: Loudon
State: Tennessee
ZIP Code: 37774-4162
Phone: (865) 408-9344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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