Search › Michigan › 225X00000X
Jacquelyn Bolden, PHD, OT
NPI 1568733871 · on the registry since 2012 · sole proprietor
Practice
- Address
- 618 Kellogg St
Plymouth, MI 48170 - Phone
- (734) 207-5372
- Fax
- (734) 207-5372
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan