Phillip Bolan, PTA

NPI #1932756574 in Salem, Ohio

Provider Information

NPI Number: 1932756574
Entity Type: Individual
Name: Phillip Bolan, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Aug 19, 2019
Last Updated: Aug 19, 2019

Practice Location

Address: 451 VALLEY RD
City: Salem
State: Ohio
ZIP Code: 44460-9725
Phone: (330) 537-4621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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