MISS Rita Ann Bollenbacher, LAT, ATC

NPI #1417031352 in Portland, Indiana

Provider Information

NPI Number
1417031352
Entity Type
Individual
Name
MISS Rita Ann Bollenbacher, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Oct 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2072 W STATE ROAD 67
State
Indiana
ZIP Code
47371-6900
Phone
(260) 726-9806

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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