Individual
MR. GARY BOGGS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3797 SUMMIT GLEN DR, DAYTON, OH 45449-3657
(937) 475-2033
Mailing address
732 PAULA ST, VANDALIA, OH 45377-1153
(937) 475-2033
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.10707
OH
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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