Individual
MRS. BONNIE LEIGH ROGULJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
190 SOUTHPARK BLVD, SUITE 100, SAINT AUGUSTINE, FL 32086-4120
(904) 824-8071
Mailing address
190 SOUTHPARK BLVD, SUITE 100, SAINT AUGUSTINE, FL 32086-4120
(904) 824-8071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29305
FL
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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