Individual
MISS RITA ANN BOLLENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2072 W STATE ROAD 67, PORTLAND, IN 47371-6900
(260) 726-9806
Mailing address
2015 N WHEELING AVE, MUNCIE, IN 47303-1630
(765) 281-0408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000574A
IN
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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