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Individual

SUZANNE MARIE BOGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10832 LAKE THAMES DR APT C, CINCINNATI, OH 45242-3127
(724) 601-1364
Mailing address
10832 LAKE THAMES DR APT C, CINCINNATI, OH 45242-3127
(724) 601-1364

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07603
OH

Other

Enumeration date
12/29/2010
Last updated
12/29/2010
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