Doctor Name: | DR. JILL GIARDINA BUGNER |
NPI Number: | 1902095318 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 07287 |
Business Practice Address: | 2285 Benton Rd Ste C200 Bossier City, LA - 711113554 |
Business Phone Number: | 3187415909 |
Business Fax Number: | 3187415911 |
Mailing Address: | 2285 Benton Rd Ste C200, BOSSIER CITY |
State: | LA |
Postal Code: | 711113554 |
Phone Number: | 3187415909 |
Fax Number: | 3187415911 |
NPI Enumeration Date: | 10/22/2007 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 07287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |