Individual
ALIZA BOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
373 BLAIR PARK RD UNIT 204, WILLISTON, VT 05495-8056
(802) 622-4672
Mailing address
373 BLAIR PARK RD UNIT 204, WILLISTON, VT 05495-8056
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0720134567
VT
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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