Individual
MRS. AMY LYNN BOLLENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1345 N MADISON AVE, ANDERSON, IN 46011-1215
(765) 644-2888
Mailing address
12685 RAMS CT, FISHERS, IN 46037-9541
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003507A
IN
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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