Doctor Name: | MRS. BARBARA JEAN BOLIN |
NPI Number: | 1003949066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | OTR604 |
Business Practice Address: | 4301 W Markham St # 547-11 Little Rock, AR - 722057101 |
Business Phone Number: | 5016866102 |
Business Fax Number: | 5012961216 |
Mailing Address: | 315 Shadow View Dr, LITTLE ROCK |
State: | AR |
Postal Code: | 722113256 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | OTR604 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |