MRS. Dawnine Marie Boldon, LPTA

NPI #1851569628 in Lake Mills, Wisconsin

Provider Information

NPI Number: 1851569628
Entity Type: Individual
Name: MRS. Dawnine Marie Boldon, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Feb 14, 2008
Last Updated: Feb 14, 2008

Practice Location

Address: 200 E TYRANENA PARK RD
City: Lake Mills
State: Wisconsin
ZIP Code: 53551-9678
Phone: (920) 648-8170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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