Doctor Name: | VERNON AUSTIN BOLLINGER |
NPI Number: | 1477967974 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | PT41347 |
Business Practice Address: | 11344 Coloma Rd Ste 680 Gold River, CA - 956704457 |
Business Phone Number: | 9168530255 |
Business Fax Number: | 9168530259 |
Mailing Address: | 115 Natoma St, FOLSOM |
State: | CA |
Postal Code: | 956302615 |
Phone Number: | 9163558500 |
Fax Number: | 9163532279 |
NPI Enumeration Date: | 06/12/2014 |
NPI Last Update Date: | 06/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT41347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |