Individual
ABIGAIL BOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
30 W MAPLE AVE, MERCHANTVILLE, NJ 08109-5104
(856) 661-0200
Mailing address
14 PARKE PLACE BLVD STE D, SEWELL, NJ 08080-2662
(856) 256-8393
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00403700
NJ
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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