John Bolenbaugh

NPI #1942745765 in Hiawatha, Iowa

Provider Information

NPI Number: 1942745765
Entity Type: Individual
Name: John Bolenbaugh
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jan 3, 2017
Last Updated: Jan 3, 2017

Practice Location

Address: 405 N 15TH AVE
City: Hiawatha
State: Iowa
ZIP Code: 52233-2347
Phone: (319) 378-8583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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