Individual
MRS. PATRICIA ANN BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 TANDEM VILLAGE RD, CANONSBURG, PA 15317-2382
(724) 743-9000
Mailing address
321 MAPLE RD, BURGETTSTOWN, PA 15021-2423
(724) 503-3206
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003047
PA
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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