Individual
ADRIENNE BOGARDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1011 FOREST AVE, PORTLAND, ME 04103-3304
(207) 615-4596
Mailing address
11 CLIPPER ST, CUMBERLAND FORESIDE, ME 04110-1354
(207) 615-4596
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2520
ME
Other
Enumeration date
10/28/2008
Last updated
08/25/2023
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