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Individual

BRYCE SCOTT BOEKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
254 ROBERT C DANIEL JR PKWY STE 4B, AUGUSTA, GA 30909-0812
(706) 723-5795
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(866) 518-0283

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
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