Individual
MARY B. BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
225 EVERGREEN RD, POTTSTOWN, PA 19464-3143
(610) 323-1800
Mailing address
2605 WILLOW LN, GILBERTSVILLE, PA 19525-9794
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006757
PA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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