| 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 |