Individual
DR. TERRI BUGELHOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD OTR/L
Contact information
Practice address
1003 WYOMING AVE, FORTY FORT, PA 18704-4002
(570) 846-0455
Mailing address
313 DELAWARE AVE, WEST PITTSTON, PA 18643-2103
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC015399
PA
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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