| Doctor Name: | MRS. NICOLE SUZANNE BOLDA |
| NPI Number: | 1255355780 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 070008573 |
| Business Practice Address: | 329 W 84th Dr Merrillville, IN - 464106245 |
| Business Phone Number: | 2197919021 |
| Business Fax Number: | 2197919022 |
| Mailing Address: | 790 Remington Blvd, BOLINGBROOK |
| State: | IL |
| Postal Code: | 604404909 |
| Phone Number: | 6302962223 |
| Fax Number: | 6307593251 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 11/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070008573 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |