Individual provider · Type 1 NPI

Lenny Bolton, RADT I

Rehabilitation Practitioner · San Diego, CA

NPI number 1295300051 Active

Practice location

5671 Churchward St
San Diego, CA 92114-4010

Call (619) 915-6452 Map

Mailing address

4526 Illinois St Apt 10C
San Diego, CA 92116-4375

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Day Training/Habilitation Specialist 373H00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1295300051

Lenny Bolton, RADT I's National Provider Identifier is 1295300051, issued on May 24, 2021. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on May 8, 2026.