Provider Demographics
NPI:1306834445
Name:BOLLINGER, JAMES ANDREW JR (ATC, CSCS)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ANDREW
Last Name:BOLLINGER
Suffix:JR
Gender:M
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:614 AMOSLAND RD
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:PA
Mailing Address - Zip Code:19070-1304
Mailing Address - Country:US
Mailing Address - Phone:610-420-3656
Mailing Address - Fax:610-534-9938
Practice Address - Street 1:614 AMOSLAND RD
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:PA
Practice Address - Zip Code:19070-1304
Practice Address - Country:US
Practice Address - Phone:610-420-3656
Practice Address - Fax:610-534-9938
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART001573A2255A2300X
NJ25MT000717002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer