Individual
BRENDA BOGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
2834 CHILLON WAY, LAGUNA BEACH, CA 92651-2013
(562) 544-4616
Mailing address
2834 CHILLON WAY, LAGUNA BEACH, CA 92651-2013
(562) 544-4616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 25035
CA
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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