Individual
DANIEL KEEGAN BOLGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
500 E BUSINESS WAY, SUITE C, CINCINNATI, OH 45241-2374
(513) 389-3666
(513) 389-3665
Mailing address
6480 HARRISON AVE, SUITE 201, CINCINNATI, OH 45247-7961
(513) 354-7650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-013060
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000725621
ANTHEM
OH
Enumeration date
08/23/2007
Last updated
10/20/2011
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