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Individual

MRS. TRACY KODY BOGDANSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1157 HIGHLAND AVE, SUITE101, CHESHIRE, CT 06410-1600
(203) 271-9288
Mailing address
33 GARDEN DR, BERLIN, CT 06037-1230
(860) 829-8022

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002744
CT

Other

Enumeration date
07/03/2007
Last updated
07/08/2007
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