| Doctor Name: | KATHLEEN A BOLLUM |
| NPI Number: | 1588978829 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 8992 |
| Business Practice Address: | 170 Mill St Gahanna, OH - 432303036 |
| Business Phone Number: | 6144145437 |
| Business Fax Number: | |
| Mailing Address: | 6572 Margaret Dr, WESTERVILLE |
| State: | OH |
| Postal Code: | 430829523 |
| Phone Number: | 2182022002 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2010 |
| NPI Last Update Date: | 08/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 8992 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| 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 |