Provider Demographics
NPI:1023075546
Name:BOGDANOVA-PEIFER, MARIA N (MSPT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:N
Last Name:BOGDANOVA-PEIFER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:N
Other - Last Name:BOGDANOVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:105 BLACKSMITH RD
Mailing Address - Street 2:
Mailing Address - City:OLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19547-8870
Mailing Address - Country:US
Mailing Address - Phone:484-433-8592
Mailing Address - Fax:
Practice Address - Street 1:2733 PAPERMILL RD SPC 9
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3339
Practice Address - Country:US
Practice Address - Phone:484-701-8241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-01174L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic