Individual
MICHELLE R BOGOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
7032 KNIGHT AVE NW, CANTON, OH 44708-5997
(330) 834-1085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 5854
OH
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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