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1164006763
CHARLES BOLLACKER
HAGERSTOWN, MD
NPI
1164006763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2021-05-10
Last Update Date
2021-05-10
Business Address
CHARLES BOLLACKER PTA
11110 MEDICAL CAMPUS RD STE 101
HAGERSTOWN, MD 21742-6711
Phone number: 301-665-4970
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Mailing Address
CHARLES BOLLACKER PTA
1635 NEEDY RD
MARTINSBURG, WV 25405-6200
Phone number: 304-620-2034
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