Doctor Name: | ALICIA BOLDEN |
NPI Number: | 1700209947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 24149 |
Business Practice Address: | 4 Park Center Court Suite 102 Owings Mills, MD - 21117 |
Business Phone Number: | 4103778900 |
Business Fax Number: | 4103773512 |
Mailing Address: | 2700 Quarry Lake Drive, Suite 300 BALTIMORE |
State: | MD |
Postal Code: | 21209 |
Phone Number: | 4103778900 |
Fax Number: | 4103773512 |
NPI Enumeration Date: | 01/23/2014 |
NPI Last Update Date: | 01/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 24149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |