JACK W BOLING

PROFLEX PHYSICAL THERAPY OF MARYLAND LLC

Dr JACK W BOLING is a male medical professional, specializing in Physical Therapy. He graduated in 2010.

Contact

PROFLEX PHYSICAL THERAPY OF MARYLAND LLC

60 MARKET ST
SUITE 206
GAITHERSBURG
MD
208786559

Tel: 3019909599

JACK W BOLING Information

Npi 1093024630
Pac Id 6800085309
Professional Enrollment Id I20110114000442
Last Name BOLING
First Name JACK
Middle Name W
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROFLEX PHYSICAL THERAPY OF MARYLAND LLC
Group Practice Pac Id 7416244322
Number Of Group Practice Members 34
Line 1 Street Address 60 MARKET ST
Line 2 Street Address SUITE 206
Marker Of Address Line 2 Suppression
City GAITHERSBURG
State MD
Zip Code 208786559
Phone Number 3019909599
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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