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Jack Bolen, COTA
NPI 1780907402 · on the registry since 2010
Practice
- Address
- 700 Randolph St
Radford, VA 24141 - Phone
- (540) 633-6533
- Organisation at this address
- Nrv Health Care Llc
Crj Physician ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Registry record
- Primary taxonomy
- Occupational Therapy Assistant
224Z00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-03-09
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 Virginia