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Shannon Mary Bolger, ATC
Student in an Organized Health Care Education/Training Program in Maple Glen, Pennsylvania
NPI 1548615362

Shannon Mary Bolger is a Student in an Organized Health Care Education/Training Program based in Maple Glen, PA. Shannon Mary Bolger practices in Maple Glen, PA and has the professional credentials of ATC. The NPI Number for Shannon Mary Bolger is 1548615362 and holds a License No. (Pennsylvania).

The current practice location address for Shannon Mary Bolger is 1700 Ludwell Dr, Maple Glen, PA and can be reached out via phone at 610-724-1185.

Location: 1700 Ludwell Dr, Maple Glen, PA, 19002-3027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548615362
Provider Name
Shannon Mary Bolger
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
1700 Ludwell Dr, Maple Glen, PA, 19002-3027
Phone Number
610-724-1185
Fax Number
Provider Enumeration Date
04/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2255A2300X 01 PA SPECIALIST/TECHNOLOGIST - ATHLETIC TRAINER
390200000X 01 PA STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM
institution
Provider Business Practice Location Address Details
Address
1700 Ludwell Dr
City
Maple Glen
State
Pennsylvania
Zip
19002-3027
Phone Number
610-724-1185
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Ludwell Dr
City
Maple Glen
State
Pennsylvania
Zip
19002-3027
Phone Number
610-724-1185
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
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Definition
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.
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