Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Valdora L Bollenback, DPT

Individual provider Physical Therapist · NPI 1114265709

Valdora L Bollenback, DPT is a Physical Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

910 N Jefferson St
Jacksonville, FL 32209-6810
Phone: (904) 360-7022
Fax: (904) 798-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT25646 (FL)
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1114265709
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 17, 2013
Last updated in NPPESFebruary 18, 2013
Mailing address910 N Jefferson St, Jacksonville, FL 32209-6810

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