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NPI Code Detail

MEDICARE: MRS. SHARON ALEXA BOGAN-GREENING OT

MEDICARE: MRS. SHARON ALEXA BOGAN-GREENING OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT-0063NV

General Provider Information

NPI Number : 1477702447
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARON ALEXA BOGAN-GREENING OT
Provider Business Mailing Address
First Line : 52 COMMERCIAL WAY
Second Line :
City : FALLON
State : NV
Zip : 89406-2600
Country : US
Telephone Number : 775-867-3904
Fax Number : 775-867-3901
Provider Business Practice Location Address
First Line : 52 COMMERCIAL WAY
Second Line :
City : FALLON
State : NV
Zip : 89406-2600
Country : US
Telephone Number : 775-867-3904
Fax Number : 775-867-3901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2008
Last Update Date : 09/15/2008

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Directions to “ MRS. SHARON ALEXA BOGAN-GREENING OT” Practice Location

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