Individual
MRS. PATRICIA ANN BOGART
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6700 N PORT WASHINGTON RD, GLENDALE, WI 53217-3919
(414) 351-8850
Mailing address
1850 NORTH 68TH STREET, WAUWATOSA, WI 53213
(414) 774-8174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
718026
WI
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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