Individual
AMY LU BOGUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 LAURELBROOKE DRIVE, BROOKVILLE, PA 15825
(814) 849-3615
Mailing address
28100 TORCH PKWY STE 600, WARRENVILLE, IL 60555-4030
(630) 413-5800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003570
PA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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