Most Relevant Information
Provider Data
| NPI Number: | 1003372335 |
| Provider Name: | MARY LYNNE BUGAY |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OP001949L |
Most Important Dates
| Enumeration Date: | 02/12/2019 |
| Last Updated: | 02/12/2019 |
Provider Practice Location
951 BRODHEAD RD
CORAOPOLIS
PA
151082349
Practice Location Phone/Fax
| Phone: | 4122691101 |
| Fax: |
Provider Mailing Location
32 ENLOW RD
IMPERIAL
PA
151261305
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |