Doctor Name: | ANDREA BOGYO |
NPI Number: | 1982948568 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 6890 |
Business Practice Address: | 5401 Netherby Rd Bldg 300 N Charleston, SC - 294207363 |
Business Phone Number: | 8432255211 |
Business Fax Number: | 8432255513 |
Mailing Address: | Po Box 1844, CLEMSON |
State: | SC |
Postal Code: | 296331844 |
Phone Number: | 8644820064 |
Fax Number: | 8644820081 |
NPI Enumeration Date: | 11/20/2012 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6890 |
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 |