IndividualActive
Dyllin Bolen
NPI 1194506980 · Music Therapist · Fort Wayne, IN
Provider details
- NPI number
- 1194506980
- Entity type
- Individual
- Primary specialty
- Music TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 17860 (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1910 Saint Joe Center Rd
Fort Wayne, IN 46825-5000
Phone: (260) 494-1624
Approximate (ZIP-level) locationGet directions
Mailing address
1910 Saint Joe Center Rd
Fort Wayne, IN 46825-5000
Registry dates
- Enumerated
- 2023-10-09
- Last updated
- 2023-10-09
- Certified
- 2023-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.