GWENDOLYN BOLDEN NPI 1659785129

NPI Information

  • NPI: 1659785129
  • Provider Name: GWENDOLYN BOLDEN
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Individual
  • Address: 4615 WALZEM ROAD
    207
    SAN ANTONIO, TX
    ZIP 78218
  • Phone: (210) 862-8211

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NPI Details

Gwendolyn Bolden is a rehabilitation practitioner in San Antonio, TX. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Gwendolyn Bolden NPI is 1659785129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4615 WALZEM ROAD
207
SAN ANTONIO, TX
ZIP 78218
Phone: (210) 862-8211

The enumeration date for this NPI number is 6/12/2014 and was last updated on 6/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225400000XRehabilitation PractitionerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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