Doctor Name: | KATHLEEN MICHELLE BOLAND |
NPI Number: | 1841593415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 23376 |
Business Practice Address: | 1493 Cambridge St Cambridge, MA - 021391047 |
Business Phone Number: | 6176652422 |
Business Fax Number: | |
Mailing Address: | 16 Avon St, Unit 1 SOMERVILLE |
State: | MA |
Postal Code: | 021431602 |
Phone Number: | 6174178740 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2010 |
NPI Last Update Date: | 10/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 23376 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |