Individual
KAITLIN BOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4140 FERNCREEK DR STE 801, FAYETTEVILLE, NC 28314-2572
(910) 710-5051
(910) 223-6233
Mailing address
4140 FERNCREEK DR STE 801, FAYETTEVILLE, NC 28314-2572
(910) 710-5051
(910) 223-6233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP026225T
LA
225100000X
Physical Therapist
CP032136T
SC
225100000X
Physical Therapist
Primary
P20748
NC
Other
Enumeration date
08/23/2021
Last updated
02/11/2026
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