Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY BOLOGNA, P.T.
Active Sole ProprietorMR. JERRY BOLOGNA, P.T. is a Physical Therapy Assistant healthcare provider located in CULVER CITY, California. NPI 1689918112 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CULVER CITY, CA
Registration Details
- NPI Number
- 1689918112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2012 (13.732098738248 yrs)
- Last Updated
- Nov 21, 2012
- License
-
24261 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10664 SAINT JAMES DRCULVER CITY, CA, 902305461Browse CA providers · Browse ZIP 90230
- Phone
- 3108382778
- Fax
- 3108389647
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CULVER CITY, CA
| Name | Credential | NPI |
|---|---|---|
| KAREN HAMILL | PT | 1336139138 |
| DARWIN LANCE FOGT | MPT | 1295782894 |
| DACOSTA ALONZO COLLYMORE | RPT | 1568497659 |
| MRS. CRISTINA CARMEN GABOR | PT | 1467533935 |
| MS. VALERY MATSUMOTO | P.T. | 1053498246 |
| MERISSA HADDAD | — | 1922174010 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.