Individual
CAMILLE ALISON QUINN BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15308 FAIRVIEW FARM RD, EDMOND, OK 73013-1329
(405) 844-4808
Mailing address
15308 FAIRVIEW FARM RD, EDMOND, OK 73013-1329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2649
OK
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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