IndividualActive
Abigail Bogner, PTA
NPI 1356038558 · Physical Therapy Assistant · Merchantville, NJ
Provider details
- NPI number
- 1356038558
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 40QB00403700 (NJ)
Mailing address
14 Parke Place Blvd Ste D
Sewell, NJ 08080-2662
Registry dates
- Enumerated
- 2023-04-19
- Last updated
- 2023-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.