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Individual

ROBYN SUE BOGDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01049
OR
225100000X
Physical Therapist
PT00003264
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019250
OR
01
P00836820
RR MEDICARE
OR
Enumeration date
12/07/2005
Last updated
06/05/2015
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