MAMTA U BOLADE

SOUTH RIDING, VA
NPI1720804339
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2305216674)
Enumeration Date2024-11-27
Last Update Date2024-11-27
Business Address
Mrs. MAMTA U BOLADE PT
24790 MEADOWS FARMS CT
SOUTH RIDING, VA 20152-3000
Phone number: 703-372-4445
Mailing Address
Mrs. MAMTA U BOLADE PT
25476 HARTLAND ORCHARD TER
SOUTH RIDING, VA 20152-3268
Phone number: 202-487-0563