MRS. Brenda Kay Bollivar, DT

NPI #1114049061 in Sterling, Illinois

Provider Information

NPI Number
1114049061
Entity Type
Individual
Name
MRS. Brenda Kay Bollivar, DT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Developmental Therapist
Credential
DT
Enumeration Date
Apr 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2300 WEST LEFEVRE ROAD
ZIP Code
61081-7703
Phone
(815) 626-3115

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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