Individual
MS. KRISTEN GEORGINA-ELIZABETH BOGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
22241 ANN ARBOR TRAIL, DEARBORN HEIGHTS, MI 48127
(313) 407-6199
Mailing address
22241 ANN ARBOR TRL, DEARBORN HEIGHTS, MI 48127-2506
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008789
MI
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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