Search › Illinois › 222Q00000X
Brenda Bollivar, DT
NPI 1114049061 · on the registry since 2007
Practice
- Address
- 2300 West Lefevre Road
Sterling, IL 61081 - Phone
- (815) 626-3115
- Fax
- (815) 626-9640
- Organisation at this address
- Rock River Valley Self Help Enterprises, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois