Bobula, Selena A.

Bobula, Selena A. is an individual health care provider with primary practice located at 1650 Cochrane Circle , Fort Carson CO 80913. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bobula, Selena A. can be contacted via phone (719) 526-2361.

Contact Information

Primary practice address
1650 Cochrane Circle Fort Carson CO 80913
Phone: (719) 526-2361
Fax: (719) 526-7732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11608-24 Wisconsin

Profile Details

NPI number 1720385305
LBN Legal business name Bobula, Selena A.
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2011
Last updated Oct 18th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720385305 NPPES
Wisconsin Other 11608-24 STATE LICENSE

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