Individual
LAKIRA BENNETT BOGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1263 OCKLAWAHA DR, ORLANDO, FL 32828-5222
(407) 988-9988
Mailing address
1263 OCKLAWAHA DR, ORLANDO, FL 32828-5222
(407) 988-9988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25962
FL
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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