Individual
STEPHANIE NICOLE BOLLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1390 S CRESCENT ST, GILMAN, IL 60938-6129
(815) 265-7208
Mailing address
630 W SOUTH ST, BRADLEY, IL 60915-2632
(815) 501-0372
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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