Individual provider · Type 1 NPI

Shannon M. Bolger, PT, DPT

Pediatric Physical Therapist · Rochester, NY

NPI number 1124306394 Active

Practice location

3255 Brighton Henrietta Town Line Rd, Suite 102
Rochester, NY 14623-2806

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X034096 (NY)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

5 other providers at this address

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About NPI 1124306394

Shannon M. Bolger, PT, DPT's National Provider Identifier is 1124306394, issued on Jul 21, 2011. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Rochester, NY. The record was last updated on Jul 21, 2011.