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Individual

ALYSSE MICHELLE BOLLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, PT

Contact information

Practice address
402 W MAIN ST, ANTLERS, OK 74523-2087
(580) 298-9818
(580) 293-9822
Mailing address
523 N WASHINGTON AVE, DURANT, OK 74701-3403

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1230453
TX
225100000X
Physical Therapist
Primary
4756
OK

Other

Enumeration date
06/06/2013
Last updated
07/24/2020
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