MRS. Susan Patricia Van De Bogart, PT

NPI #1326291279 in New Paltz, New York

Provider Information

NPI Number: 1326291279
Entity Type: Individual
Name: MRS. Susan Patricia Van De Bogart, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 23, 2008
Last Updated: Oct 23, 2008

Practice Location

Address: 279 MAIN ST
Address 2: SUITE 203
City: New Paltz
State: New York
ZIP Code: 12561-1623
Phone: (845) 256-0253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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