Individual
MS. SHARON ANNE BOLGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 521-9762
(262) 521-1091
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1370026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41044500
—
WI
Enumeration date
03/05/2007
Last updated
04/06/2017
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