| Doctor Name: | MARIA N BOGDANOVA |
| NPI Number: | 1023075546 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | PT-01174L |
| Business Practice Address: | 3000 C G Zinn Rd Suite 202 Thorndale, PA - 193721134 |
| Business Phone Number: | 6103837700 |
| Business Fax Number: | 6103839726 |
| Mailing Address: | 168 Lydia Ln, WEST CHESTER |
| State: | PA |
| Postal Code: | 193828483 |
| Phone Number: | 4844338592 |
| Fax Number: | |
| NPI Enumeration Date: | 04/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT-01174L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |