Individual
BRYCE SCOTT BOEKE
Active
Individual
BRYCE SCOTT BOEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11462
SC
225100000X
Physical Therapist
Primary
PT016399
GA
Other
Enumeration date
08/10/2022
Last updated
01/20/2023
Update your record
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