Doctor Name: | MARK ANDREW BOLAND |
NPI Number: | 1578545125 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT016327 |
Business Practice Address: | 108 Franciscan Way Disepio Center For Rehabilitation Loretto, PA - 15940 |
Business Phone Number: | 8144723936 |
Business Fax Number: | 8144723905 |
Mailing Address: | 108 Franciscan Way, Disepio Center For Rehabilitation LORETTO |
State: | PA |
Postal Code: | 15940 |
Phone Number: | 8144723936 |
Fax Number: | 8144723905 |
NPI Enumeration Date: | 11/18/2005 |
NPI Last Update Date: | 04/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT016327 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |