Individual
JUDY MARIE KEDLEY BOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3485 WINDSOR AVE, DUBUQUE, IA 52001-1312
(563) 557-7180
(847) 730-2159
Mailing address
3485 WINDSOR AVE, DUBUQUE, IA 52001-1312
(563) 690-9637
(847) 730-2159
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00025
IA
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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