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Individual
JOHN DOUGLAS KOLANDER
Active
Individual
JOHN DOUGLAS KOLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1067841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039571
BLUELINK#
TX
01
—
7336732
AETNA PIN #
TX
01
—
8T3196
BCBS OF TEXAS
TX
Enumeration date
09/07/2006
Last updated
04/02/2008
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