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Contact Information

PABLO E DER BOGHOSSIAN, PT
1800 CORTEZ RD W STE C
BRADENTON, FL34207-1335
 Phone: 941-870-7473
 Fax: 941-870-4915
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PABLO E DER BOGHOSSIAN · (Male)

NPI Number 1922158484
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 01/10/2007
Last updated 06/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • License # PT13467
  • FL License # PT0013467
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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