Individual
TONI R BOGUSLAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4902
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277842
—
OR
Enumeration date
11/17/2005
Last updated
10/29/2007
Update your record
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