Individual provider · Type 1 NPI

Angela Marie Bogard

Developmental Therapist · Robinson, IL

NPI number 1013128859 Active

Practice location

1509 N Fairway Dr
Robinson, IL 62454-2536

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1013128859

Angela Marie Bogard's National Provider Identifier is 1013128859, issued on May 24, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Robinson, IL. The record was last updated on Jul 8, 2007.