Blake Evan Bollwitt, DPT

NPI #1801143094 in Ord, Nebraska

Provider Information

NPI Number: 1801143094
Entity Type: Individual
Name: Blake Evan Bollwitt, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 7, 2012
Last Updated: Aug 13, 2012

Practice Location

Address: 2305 N ST
City: Ord
State: Nebraska
ZIP Code: 68862-1632
Phone: (402) 340-4167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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