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PETER FRANKLIN GENE BOLLER PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1285100081
Individual Registrant: PETER FRANKLIN GENE BOLLER PT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
23592 WINDSONG APT 50I ALISO VIEJO, CA 92656-1395 US
Tel: 805-210-0229 Fax: --
Tel: 805-210-0229 Fax: --
Contact information for business:
23592 WINDSONG APT 50I ALISO VIEJO, CA 92656-1395 US
Tel: 805-210-0229 Fax: --
Tel: 805-210-0229 Fax: --
Registration Information:
NPI: 1285100081
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | 295582 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
