Justin Robert Bockholt
NPI #1316473309 in Sunnyvale, California
Provider Information
- NPI Number
- 1316473309
- Entity Type
- Individual
- Name
- Justin Robert Bockholt
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- May 11, 2017
- Last Updated
- May 11, 2017
Practice Location
- Address
- 1158 QUINCE AVE
- City
- Sunnyvale
- State
- California
- ZIP Code
- 94087-2321
- Phone
- (408) 505-7244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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