Individual provider · Type 1 NPI
Shannon Mary Bolger, ATC
Student in an Organized Health Care Education/Training Program · Maple Glen, PA
NPI number
1548615362
Active
Practice location
1700 Ludwell Dr
Maple Glen, PA 19002-3027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1548615362
Shannon Mary Bolger, ATC's National Provider Identifier is 1548615362, issued on Apr 29, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maple Glen, PA. The record was last updated on Apr 29, 2016.