Angelo Joseph Bologna, PT

NPI #1558843870 in Gresham, Oregon

Provider Information

NPI Number: 1558843870
Entity Type: Individual
Name: Angelo Joseph Bologna, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 4, 2018
Last Updated: Aug 8, 2019

Practice Location

Address: 282 NE 223RD AVE
City: Gresham
State: Oregon
ZIP Code: 97030-8555
Phone: (503) 912-1192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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