Individual
KIM R BUGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 MYERS AVE, CONYNGHAM, PA 18219-1821
(570) 956-1255
Mailing address
PO BOX 305, CONYNGHAM, PA 18219-0305
(570) 956-1255
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001926
PA
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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