MRS. Mamta U Bolade, PT
NPI #1720804339 in South Riding, Virginia
Provider Information
- NPI Number
- 1720804339
- Entity Type
- Individual
- Name
- MRS. Mamta U Bolade, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PT
- Enumeration Date
- Nov 27, 2024
- Last Updated
- Nov 27, 2024
Practice Location
- Address
- 24790 MEADOWS FARMS CT
- City
- South Riding
- State
- Virginia
- ZIP Code
- 20152-3000
- Phone
- (703) 372-4445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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