Individual
MARY LYNNE BUGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
951 BRODHEAD RD, CORAOPOLIS, PA 15108-2349
(412) 269-1101
Mailing address
32 ENLOW RD, IMPERIAL, PA 15126-1305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001949L
PA
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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