Provider Demographics
NPI:1780645705
Name:OGAR, ROBERT R (ACT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:R
Last Name:OGAR
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Gender:M
Credentials:ACT
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Mailing Address - Street 1:39885 GRAND RIVER
Mailing Address - Street 2:STE 300
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375
Mailing Address - Country:US
Mailing Address - Phone:248-615-0282
Mailing Address - Fax:248-615-0415
Practice Address - Street 1:39885 GRAND RIVER
Practice Address - Street 2:STE 300
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375
Practice Address - Country:US
Practice Address - Phone:248-615-0282
Practice Address - Fax:248-615-0415
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2018-03-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer