Michael J Bolander, PT
Physical Therapist in Fort Collins, CO. Individual provider (NPI-1).
NPI number1619084175
StatusActive
Last updated in NPPESApr 23, 2019
Details
- NPI
- 1619084175
- Entity type
- Individual (NPI-1)
- Name
- Michael J Bolander
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2006
- Last updated
- Apr 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PTL.0008448 | CO | Yes |
Practice location
2500 E Prospect RdFort Collins, CO 80525
Phone 970-493-0112
Mailing address
2695 Rocky Mountain AveSte 150
Loveland, CO 80538-9071
Phone 970-624-2404 · Fax 720-718-0993
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