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Shannon Bogle, PT
Orthopedic Physical Therapist in Tampa, Florida
NPI 1851401582

Shannon Bogle is a Orthopedic Physical Therapist based in Temple Terrace, FL and is specialized in Orthopedic. Shannon Bogle practices in Tampa, FL and has the professional credentials of PT. The NPI Number for Shannon Bogle is 1851401582 and holds a License No. PT12643 (Florida).

The current practice location address for Shannon Bogle is 2106 S Lois Ave, Tampa, FL and can be reached out via phone at 813-287-9370.

Location: 2106 S Lois Ave, Tampa, FL, 33637-0925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851401582
Provider Name
Shannon Bogle
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
2106 S Lois Ave, Tampa, FL, 33637-0925
Phone Number
813-287-9370
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00465914 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2106 S Lois Ave
City
Tampa
State
Florida
Zip
33629-5659
Phone Number
813-287-9370
Fax Number
person
Provider Business Mailing Address Details
Address
2106 S Lois Ave
City
Tampa
State
Florida
Zip
33629-5659
Phone Number
813-287-9370
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
PT12643 (Florida)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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