Individual
MRS. ANGELA BOGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6285
(706) 733-0188
Mailing address
2513 WINTERVILLE DR., AUGUSTA, GA 30909-0601
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001289
GA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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