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PETER FRANKLIN GENE BOLLER PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1285100081

Individual Registrant:
 PETER FRANKLIN GENE BOLLER PT
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: --

Contact information for business:
23592 WINDSONG APT 50I  ALISO VIEJO, CA 92656-1395 US
Tel: 805-210-0229  Fax: --

Registration Information:
NPI: 1285100081
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA295582

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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