Justin Robert Bockholt
Justin Robert Bockholt is an Athletic Trainer in Sunnyvale, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
1158 Quince AveSunnyvale, CA 94087-2321
Phone: (408) 505-7244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence F4886105 (CA) |
|---|
Record details
| NPI number | 1316473309 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 11, 2017 |
| Last updated in NPPES | May 11, 2017 |
| Mailing address | 1158 Quince Ave, Sunnyvale, CA 94087-2321 |
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