NPI 1659785129

Gwendolyn Bolden

Practitioner Rehabilitation Practitioner San Antonio, TX

Practice location

Address: 4615 Walzem Road 207, San Antonio, TX 78218
Phone: (210) 862-8211
Mailing address: 7326 Mystery Rdg, Converse, TX 78109-2727

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1659785129
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2014
Record last updated: 12 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.