MS. Mary Carla Bolan, A.T.C., L.A.T.

NPI #1053441378 in Bandera, Texas

Provider Information

NPI Number
1053441378
Entity Type
Individual
Name
MS. Mary Carla Bolan, A.T.C., L.A.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
A.T.C., L.A.T.
Enumeration Date
Mar 6, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
474 OLD SAN ANTONIO HWY.
State
Texas
ZIP Code
78003
Phone
(830) 796-5549

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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