Individual
MRS. STEPHANIE ANN BOLOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,P.T.
Contact information
Practice address
995 HOPMEADOW ST, SIMSBURY, CT 06070-1812
(860) 966-2152
(860) 651-6679
Mailing address
7 ANJA DR, SIMSBURY, CT 06070-1546
(860) 651-6679
(860) 651-6679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006643
CT
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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