Individual
HOLLY JEAN BOGAZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(800) 334-1919
Mailing address
602 S 4TH ST, EDDYVILLE, IA 52553-9618
(641) 226-3998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01134
IA
Other
Enumeration date
12/06/2008
Last updated
12/06/2008
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