DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JORDAN LEWIS BUGARSKE, PTA

Active

MR. JORDAN LEWIS BUGARSKE, PTA is a Occupational Therapist healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1316480981 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SOUTH LAKE TAHOE, CA

Registration Details

NPI Number
1316480981
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2016 (9.6800857759888 yrs)
Last Updated
Mar 17, 2018
Licenses
A-0930 (NV)
9220 (CA)

Practice Information

Address
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA, 961507026
Browse CA providers · Browse ZIP 96150
Phone
5305435896
Fax
5305446512
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in SOUTH LAKE TAHOE, CA

Name Credential NPI
ANN FOX PTA 1083991673
AMANDA SCHMIDT P.T.A 1588075113
SEBASTIAN COMBES PTA 1417318213
ANGELA MARIE HAGENAH PTA 1447605977
HEATHER APPLEGATE PTA 1326576893
LEEANN MILLS PTA 1447725916
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.