GRANT BOLTJES

SIOUX FALLS, SD
NPI1598111346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist Pediatrics
(Licence: SD  1072)
Enumeration Date2016-05-11
Last Update Date2016-05-11
Business Address
GRANT BOLTJES PT
3513 S HARMONY DR
SIOUX FALLS, SD 57110-6032
Phone number: 605-371-0432
Mailing Address
GRANT BOLTJES PT
3513 S HARMONY DR
SIOUX FALLS, SD 57110-6032
Phone number: 605-371-0432