Shannon M Bolger
Physical Therapist - Pediatrics
3255 Brighton Henrietta Town Line Rd Suite 102
Rochester
, New York 14623-2806
Shannon M Bolger
Physical Therapist - Pediatrics
3255 Brighton Henrietta Town Line Rd Suite 102
Rochester
, New York 14623-2806
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Shannon M Bolger
- 3255 Brighton Henrietta Town Line Rd Suite 102
- Rochester, NY
- Zip : 14623-2806
- Phone :
Second Address
- Shannon M Bolger
- 3255 Brighton Henrietta Town Line Rd Suite 102
- Rochester, NY
- Zip : 14623-2806
- Phone : (585) 427-2977
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 034096 | NY |
National Provider Identifier
| NPI | 1124306394 |
|---|---|
| Provider Name | Shannon M Bolger |
| First Address | Rochester, NY 14623-2806 |
| Second Address | Rochester, NY 14623-2806 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2011 |
| Last Update Date | 21/07/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.