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Zachary Joachim Bolster, PT, DPT, ATC

Physical Therapist in Vacaville, CA. Individual provider (NPI-1).

NPI number1124686282
StatusActive
Last updated in NPPESNov 11, 2021

Details

NPI
1124686282
Entity type
Individual (NPI-1)
Name
Zachary Joachim Bolster
Credential
PT, DPT, ATC
Sex
Male
Sole proprietor
No
Enumeration date
Jun 4, 2019
Certification date
Nov 11, 2021
Last updated
Nov 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist4524NHYes

Practice location

770 Mason St
Vacaville, CA 95688-4646

Phone 707-454-6990

Mailing address

15 Rye St Ste 125
Portsmouth, NH 03801-6839

Phone 603-610-2200

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