Charles Bollacker, PTA
NPI #1164006763 in Hagerstown, Maryland
Provider Information
- NPI Number
- 1164006763
- Entity Type
- Individual
- Name
- Charles Bollacker, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- May 10, 2021
- Last Updated
- May 10, 2021
Practice Location
- Address
- 11110 MEDICAL CAMPUS RD STE 101
- City
- Hagerstown
- State
- Maryland
- ZIP Code
- 21742-6711
- Phone
- (301) 665-4970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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