Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 362 | CA |
N | 225XH1200X | Occupational Therapist - Hand | 362 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 362 | CA |
NPI | 1053526970 |
---|---|
Provider Name | Ms. Deborah J. Bolding |
First Address | Menlo Park, CA 94025-2504 |
Second Address | Stanford, CA 94305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 08/07/2007 |