Individual
MRS. TRACEY SCHOLL BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1220 W WHEELER PKWY STE E, AUGUSTA, GA 30909-1895
(706) 831-9066
Mailing address
1220 W WHEELER PKWY STE E, AUGUSTA, GA 30909-1895
(706) 831-9066
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003196
GA
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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