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1083025522
SAMANTHA JO BOLL
FITCHBURG, WI
NPI
1083025522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 12645-24)
Enumeration Date
2014-05-19
Last Update Date
2024-12-17
Business Address
SAMANTHA JO BOLL PT, DPT
2995 SUB ZERO PKWY
FITCHBURG, WI 53719-8801
Phone number: 608-819-6394
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Mailing Address
SAMANTHA JO BOLL PT, DPT
828 HANKSFIELD PL
PRAIRIE DU SAC, WI 53578-1162
Phone number: 608-778-3439
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