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Individual

MS. ANYA EDEN BOSWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T

Contact information

Practice address
254 LANCASTER AVE, MALVERN, PA 19355-3087
(610) 644-7750
(610) 644-8290
Mailing address
254 LANCASTER AVE, MALVERN, PA 19355-3087
(610) 644-7750
(610) 644-8290

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24225161
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1031385290001
PA
Enumeration date
05/24/2016
Last updated
12/05/2016
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