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Contact Information

BRENDA K BOLLIVAR, DT
2300 WEST LEFEVRE ROAD
STERLING, IL61081-7703
 Phone: 815-626-3115
 Fax: 815-626-9640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for BRENDA K BOLLIVAR · (Female)

NPI Number 1114049061
Status Active
Credentials DT
Entity Individual
Enumeration date 04/04/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IL License # BB94480598P
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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