Individual
JANELLE ELIZABETH BOOGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4005 METZEROTT RD, COLLEGE PARK, MD 20740-2080
(352) 552-8909
Mailing address
4005 METZEROTT RD, COLLEGE PARK, MD 20740-2080
(352) 552-8909
(407) 905-9309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 16843
FL
225X00000X
Occupational Therapist
Primary
OT20928
FL
Other
Enumeration date
11/11/2015
Last updated
03/08/2021
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