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Kristina Bolante, PT

Physical Therapist in Jackson, MI. Individual provider (NPI-1).

NPI number1972623908
StatusActive
Last updated in NPPESApr 14, 2025

Details

NPI
1972623908
Entity type
Individual (NPI-1)
Name
Kristina Bolante
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Mar 31, 2007
Certification date
Apr 14, 2025
Last updated
Apr 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5501016070MIYes

Practice location

2100 Park Rd
Jackson, MI 49203-4938

Phone 514-780-4019

Mailing address

2100 Park Rd
Jackson, MI 49203-4938

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