Provider Demographics
NPI:1235576430
Name:BOLDEA, ESTERA DENISA (PT)
Entity Type:Individual
Prefix:DR
First Name:ESTERA
Middle Name:DENISA
Last Name:BOLDEA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:DR
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:BOLDEA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT, CEEAA
Mailing Address - Street 1:597 S ENOTA DR NE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-2545
Mailing Address - Country:US
Mailing Address - Phone:770-219-8250
Mailing Address - Fax:770-219-3862
Practice Address - Street 1:597 S ENOTA DR NE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-2545
Practice Address - Country:US
Practice Address - Phone:770-219-8250
Practice Address - Fax:770-219-3862
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA009755225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist