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Devin L Bolton, PTA

Physical Therapy Assistant in Dallas, TX. Individual provider (NPI-1).

NPI number1013797992
StatusActive
Last updated in NPPESSep 29, 2023

Details

NPI
1013797992
Entity type
Individual (NPI-1)
Name
Devin L Bolton
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 29, 2023
Certification date
Sep 29, 2023
Last updated
Sep 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant––Yes

Practice location

3737 Timberglen Rd Apt 1705
Dallas, TX 75287-3635

Phone 214-600-5017

Mailing address

3737 Timberglen Rd Apt 1705
Dallas, TX 75287-3635

Phone 214-600-5017

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