CHARLES BOLLACKER

HAGERSTOWN, MD
NPI1164006763
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2021-05-10
Last Update Date2021-05-10
Business Address
CHARLES BOLLACKER PTA
11110 MEDICAL CAMPUS RD STE 101
HAGERSTOWN, MD 21742-6711
Phone number: 301-665-4970
Mailing Address
CHARLES BOLLACKER PTA
1635 NEEDY RD
MARTINSBURG, WV 25405-6200
Phone number: 304-620-2034