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Individual
MS. LAURA ANNE BOSTOCK
Active
Individual
MS. LAURA ANNE BOSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10450587-4201
UT
225X00000X
Occupational Therapist
Primary
17484
CA
225X00000X
Occupational Therapist
380689
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
380689
NBCOT - NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
12/29/2018
Last updated
12/29/2018
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