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Individual
VALDORA L BOLLENBACK
Active
Individual
VALDORA L BOLLENBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
Primary
PT25646
FL
Other
Enumeration date
01/17/2013
Last updated
02/18/2013
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