MEDICARE: MS. LINDA MARIE BOLLINGER-LUNGER PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	009906	NY

General Provider Information

NPI Number	:	1164505715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA MARIE BOLLINGER-LUNGER PT, DPT

Provider Business Mailing Address
First Line	:	4190 CASCADA PIAZZA LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2503
Country	:	US
Telephone Number	:	631-219-5424
Fax Number	:

Provider Business Practice Location Address
First Line	:	4190 CASCADA PIAZZA LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2503
Country	:	US
Telephone Number	:	631-219-5424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	02/20/2023

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