| NPI | 1093078438 |
|---|---|
| Former Name | PAMELA A BOLLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0003520) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: CO PTL.0003520) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2019-02-28 |