Individual
MR. CRAIG BOLLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2105 KARA CT, SUITE #A-1, LIBERTY, MO 64068-1384
(816) 407-1249
(816) 407-1259
Mailing address
2105 KARA CT, SUITE #A-1, LIBERTY, MO 64068-1384
(816) 407-1249
(816) 407-1259
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
108642
MO
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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