Individual
DAWN BOGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
65 DUTCH LN, COLUMBUS, MS 39702-5523
(662) 241-4545
(662) 241-4025
Mailing address
65 DUTCH LN, COLUMBUS, MS 39702-5523
(662) 241-4545
(662) 241-4025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3197
MS
Other
Enumeration date
12/02/2010
Last updated
06/12/2014
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