Individual
KARA BOGUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 MEADOWFIELD DR, SOUTHAMPTON, PA 18966-3043
(215) 290-0117
Mailing address
75 MEADOWFIELD DR, SOUTHAMPTON, PA 18966-3043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016648
PA
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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