Individual
JEAN MARIE BOGUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
21005 S SCHOOL RD, PECULIAR, MO 64078-9346
(316) 253-0743
Mailing address
11525 S PARKWOOD DR, OLATHE, KS 66061-6435
(316) 253-0743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017026430
MO
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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