Lucas Bogan, PTA

NPI #1932854833 in Clinton Twp, Michigan

Provider Information

NPI Number
1932854833
Entity Type
Individual
Name
Lucas Bogan, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Feb 18, 2022
Last Updated
Feb 18, 2022

Practice Location

Address
33900 HARPER AVE STE 104
ZIP Code
48035-4258
Phone
(586) 350-2644

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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