Jessica Leian Boggs, ATC

NPI #1912274721 in Tiffin, Ohio

Provider Information

NPI Number: 1912274721
Entity Type: Individual
Name: Jessica Leian Boggs, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: ATC
Enumeration Date: Nov 22, 2011
Last Updated: Nov 22, 2011

Practice Location

Address: 310 E MARKET ST
Address 2: ATTN: SEIBERLING
City: Tiffin
State: Ohio
ZIP Code: 44883-2434
Phone: (419) 448-2052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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