Doctor Name: | DANIEL RYAN BOGART |
NPI Number: | 1649438458 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 6684 |
Business Practice Address: | 439 Channel Rd Suite 102 Lake Wylie, SC - 297106102 |
Business Phone Number: | 8037467800 |
Business Fax Number: | 8037467807 |
Mailing Address: | 439 Channel Rd, Suite 102 LAKE WYLIE |
State: | SC |
Postal Code: | 297106102 |
Phone Number: | 8037467800 |
Fax Number: | 8037467807 |
NPI Enumeration Date: | 05/29/2008 |
NPI Last Update Date: | 08/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |