PAUL ALLEN BOLT

MOUNTAIN HOME, AR
NPI1386783926
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AR  OTR411)
Enumeration Date2007-02-06
Last Update Date2017-01-14
Business Address
Mr. PAUL ALLEN BOLT OTR
34 DUNN LN
MOUNTAIN HOME, AR 72653-8663
Phone number: 870-425-5597
Mailing Address
Mr. PAUL ALLEN BOLT OTR
2805 MID CITIES DR
BENTONVILLE, AR 72712-4270
Phone number: 870-404-1046