Individual
VICKI BOLGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16460 HORSESHOE RIDGE RD, CHESTERFIELD, MO 63005-4422
(314) 409-7525
Mailing address
16460 HORSESHOE RIDGE RD, CHESTERFIELD, MO 63005-4422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01129
MO
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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