Lisa Joan Bogacki, PT, MPH, ESMT, CCMT

NPI #1992438840 in Fleetwood, Pennsylvania

Provider Information

NPI Number: 1992438840
Entity Type: Individual
Name: Lisa Joan Bogacki, PT, MPH, ESMT, CCMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, MPH, ESMT, CCMT
Enumeration Date: Jul 7, 2022
Last Updated: Jul 7, 2022

Practice Location

Address: 403 FRIENDSHIP DR
City: Fleetwood
State: Pennsylvania
ZIP Code: 19522-1902
Phone: (610) 823-3518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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