Individual
CORRINE CELESTE BOLLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6000 HILLANDALE DR STE 145, LITHONIA, GA 30058-4860
(678) 418-8072
(678) 418-8072
Mailing address
6000 HILLANDALE DR STE 145, LITHONIA, GA 30058-4860
(678) 418-8072
(678) 418-8072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013981
GA
Other
Enumeration date
06/10/2019
Last updated
11/02/2022
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