Individual
MRS. MEGAN DANA BOLLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 MAIN AVE S, PARK RAPIDS, MN 56470-1518
(218) 732-0868
(218) 732-8502
Mailing address
2601 MANATEE AVE W, STE E, BRADENTON, FL 34205-4942
(941) 744-9046
(941) 567-4029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6896
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
450L8BO
BLUE CROSS INDIVIDUAL ID
MN
05
—
683227000
—
MN
Enumeration date
11/21/2006
Last updated
01/02/2018
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