Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELO JOSEPH BOLOGNA, PT
ActiveANGELO JOSEPH BOLOGNA, PT is a Physical Therapy Assistant healthcare provider located in GRESHAM, Oregon. NPI 1558843870 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRESHAM, OR
Registration Details
- NPI Number
- 1558843870
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2018 (7.9321721767303 yrs)
- Last Updated
- Aug 8, 2019
- Licenses
-
63365 (OR)11781 (TN)
Practice Information
- Address
-
282 NE 223RD AVEGRESHAM, OR, 970308555Browse OR providers · Browse ZIP 97030
- Phone
- 5039121192
- Fax
- 5039121275
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| MR. CLEM GEORGE EISCHEN JR. | PT | 1043292311 |
| JOHN JEFFERY PARR | PT | 1467435446 |
| MR. SHAWN CHRISTOPHER GRIMES | MSPT | 1609856756 |
| ELIZABETH A BLACK | BS PT | 1932179025 |
| BOBBI G CULTER | MSPT | 1518938604 |
| LIANA L FUNK | PTA | 1609849645 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.