MR. Jack Aaron Bolen, COTA
NPI #1780907402 in Radford, Virginia
Provider Information
- NPI Number
- 1780907402
- Entity Type
- Individual
- Name
- MR. Jack Aaron Bolen, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Mar 9, 2010
- Last Updated
- Mar 9, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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