Individual
STEPHEN BOSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6767 9TH AVE, PORT ARTHUR, TX 77642-6414
(409) 722-1485
Mailing address
6767 9TH AVE, PORT ARTHUR, TX 77642-6414
(409) 722-1485
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2105157
TX
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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