Individual
JAGRUP BHOGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
300 COURTRIGHT ST, WILKES BARRE, PA 18702-2526
(570) 825-0538
Mailing address
408 S. KEYSER AVE., SCRANTON, PA 18504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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