MRS. Laurel Bogle, PTA
NPI #1386195782 in Smithville, Tennessee
Provider Information
- NPI Number
- 1386195782
- Entity Type
- Individual
- Name
- MRS. Laurel Bogle, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Physical Therapy
- Credential
- PTA
- Enumeration Date
- Oct 20, 2016
- Last Updated
- Oct 20, 2016
Practice Location
- Address
- 825 FISHER AVE
- City
- Smithville
- State
- Tennessee
- ZIP Code
- 37166-2140
- Phone
- (615) 597-4182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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