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NPI Code Detail

MEDICARE: KATHERINE ISABELLA BOLLINGER DPT

MEDICARE:   KATHERINE ISABELLA BOLLINGER  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP22163NC
2225100000XPhysical Therapist11364SC

General Provider Information

NPI Number : 1548991144
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ISABELLA BOLLINGER DPT
Provider Business Mailing Address
First Line : 8814 RACHEL FREEMAN WAY STE 103
Second Line :
City : CHARLOTTE
State : NC
Zip : 28278-9570
Country : US
Telephone Number : 704-295-4121
Fax Number :
Provider Business Practice Location Address
First Line : 8814 RACHEL FREEMAN WAY STE 103
Second Line :
City : CHARLOTTE
State : NC
Zip : 28278-9570
Country : US
Telephone Number : 704-295-4121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2022
Last Update Date : 09/25/2025

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Directions to “ KATHERINE ISABELLA BOLLINGER DPT” Practice Location

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