Individual
KATHLEEN A BOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
170 MILL ST, GAHANNA, OH 43230-3036
(614) 414-5437
Mailing address
6572 MARGARET DR, WESTERVILLE, OH 43082-9523
(218) 202-2002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8992
AZ
Other
Enumeration date
07/28/2010
Last updated
08/15/2012
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