Active NPIIndividual provider

Mrs. Geneva M Bolen, OTR/L

Occupational Therapist in Lake Wylie, South Carolina

NPI Number1225270630
Practice location
439 Channel RD Ste 102, Lake Wylie, SC 29710-6101
Fax
—
Last updated
July 22, 2025

Geneva Michelle Bolen is an Occupational Therapist based in Lake Wylie, SC. Geneva Michelle Bolen practices in Lake Wylie, SC and has the professional credentials of OTR/L. The NPI Number for Geneva Michelle Bolen is 1225270630 and holds a License No. 4484 (SC). The current practice location address for Geneva Michelle Bolen is 439 Channel RD Ste 102, Lake Wylie, SC 29710-6101 and can be reached out via phone at 803-746-7800.

Provider Profile Details

NPI Number
1225270630
Provider Name
Geneva Michelle Bolen
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
439 Channel RD Ste 102, Lake Wylie, SC 29710-6101
Phone Number
803-746-7800
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
March 31, 2009
Last Update Date
July 22, 2025
Certification Date
July 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
439 Channel RD Ste 102
Lake Wylie, SC 29710-6101
Zip
29710-6101
Phone Number
803-746-7800
Lake Wylie, SC 29710Get directions →

Provider Business Mailing Address Details

Address
Po Box 412313 Suite 102
Boston, MA 02241-0001
City
Boston
State
MA
Zip
02241-0001

License Information

License Number
4484
License State
SC
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Geneva M Bolen, OTR/L?

The NPI number of Mrs. Geneva M Bolen, OTR/L is 1225270630. It was assigned on March 31, 2009 and is currently active in the NPPES registry.

What is the specialty of Mrs. Geneva M Bolen, OTR/L?

Mrs. Geneva M Bolen, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in SC under license number 4484.

Where does Mrs. Geneva M Bolen, OTR/L practice?

The practice location is 439 Channel RD Ste 102, Lake Wylie, SC 29710-6101. The office can be reached at 803-746-7800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225270630 directly on the NPPES registry website.

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