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NPI Profile for LISA K BOGAN in PORTSMOUTH, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI Number | 1457330979 |
|
| Status | Active | |
| Credentials | OTR, CHT, CLT-LANA | |
| Entity | Individual | |
| Enumeration date | 01/12/2006 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA K BOGAN
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LISA K BOGAN, OTR, CHT, CLT-LANA