Individual
MRS. LAUREL BOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
825 FISHER AVE, SMITHVILLE, TN 37166-2140
(615) 597-4182
Mailing address
1098 BLUE SPRINGS RD, SMITHVILLE, TN 37166-6075
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3206
TN
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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