National Provider Identifier
Shannon M Bolger, PT, DPT
Shannon M Bolger, PT, DPT is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Rochester, NY and a listed phone number of (585) 427-2977.
Profile Overview
- NPI
- 1124306394
- Provider Type
- Individual
- Primary Specialty
- Pediatric Physical Therapist
- Enumeration Date
- July 21, 2011
- Last Updated
- July 21, 2011
Practice Location
- 3255 Brighton Henrietta Town Line RD
- Suite 102
- Rochester, NY 14623-2806
Phone: (585) 427-2977
Specialties
- Pediatric Physical Therapist (2251P0200X)
Full Record
- NPI
- 1124306394
- Entity Type
- Individual
- Last Name
- Bolger
- First Name
- Shannon
- Middle Name
- M
- Credential
- PT, DPT
- Mailing Street Address
- 3255 Brighton Henrietta Town Line RD
- Mailing Address Line 2
- Suite 102
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-2806
- Mailing Country
- US
- Practice Street Address
- 3255 Brighton Henrietta Town Line RD
- Practice Address Line 2
- Suite 102
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2806
- Practice Country
- US
- Practice Phone
- (585) 427-2977
- Enumeration Date
- July 21, 2011
- Last Updated
- July 21, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Physical Therapist (2251P0200X)