Individual
BAILEY NICOLE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1090 NE GATEWAY CT NE, STE 204A, CONCORD, NC 28025-2414
(704) 403-9239
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15483
NC
Other
Enumeration date
09/08/2017
Last updated
09/25/2025
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