Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK AARON BOLEN, COTA
ActiveMR. JACK AARON BOLEN, COTA is a Occupational Therapy Assistant healthcare provider located in RADFORD, Virginia. NPI 1780907402 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · RADFORD, VA
Registration Details
- NPI Number
- 1780907402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2010 (16.25120903682 yrs)
- Last Updated
- Mar 9, 2010
- License
-
0131000124 (VA)
Practice Information
- Address
-
700 RANDOLPH STRADFORD, VA, 241412430Browse VA providers · Browse ZIP 24141
- Phone
- 5406336533
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in RADFORD, VA
| Name | Credential | NPI |
|---|---|---|
| CHRISTIE DENEISE HURLEY | COTA/L, BA | 1710170212 |
| MRS. TARA ASHLEE NEWBERRY | COTA | 1275704041 |
| ROBBIE ALLEN HONAKER | COTA | 1952678369 |
| MRS. ASHLEY ANN SAGE | COTA/L | 1447520788 |
| THU LENGUYEN | COTA/L | 1104188994 |
| CHRISTINA M BULLERMAN | — | 1689018632 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.