Individual
ALLISON MARIE BOLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 RECREATIONAL BUILDING, UNIVERSITY PARK, PA 16802
(814) 865-5284
Mailing address
48 WHITE DOG DR, SCHUYLKILL HAVEN, PA 17972-8869
(570) 640-7552
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2021
Last updated
03/21/2021
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