JERRY BOLOGNA

CULVER CITY, CA
NPI1689918112
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  24261)
Enumeration Date2012-11-21
Last Update Date2012-11-21
Business Address
Mr. JERRY BOLOGNA P.T.
10664 SAINT JAMES DR
CULVER CITY, CA 90230-5461
Phone number: 310-838-2778
Mailing Address
Mr. JERRY BOLOGNA P.T.
1307 W 8TH ST
SAN PEDRO, CA 90732-3801
Phone number:
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