Linda Elizabeth Bolt, OTR/L
Individual provider Active NPI Occupational Therapist · Martinez, GA
NPI 1770926495 · NPPES record last updated Apr 11, 2013
Key facts
- NPI
- 1770926495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT002768 (GA)
- Practice address
- 625 Clinton Way W
Martinez, GA 30907-4410 - Phone
- (706) 650-0806
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT002768 | GA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT002768 | GA | Yes |
| Occupational Therapist | 225X00000X | 3809 | SC |
Addresses
Primary practice location
625 Clinton Way W
Martinez, GA 30907-4410
Mailing address
625 Clinton Way W
Martinez, GA 30907-4410
Phone (706) 650-0806
Other providers in Martinez, GA
- Blessed Hands Wellness Spa LLC
- Melissa Blue
- Cameo Blundstone
- Westin Bobadilla
- Edward H Boland
- Zaniya Bond
- Kimberly Dawn Booker
- Elizabeth Boswell
- Jason Michael Bouvier
- Jennifer Bowen
All providers in Martinez, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.