Individual
KIMBERLY S BOS-JANIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11938 W 108TH PL, SAINT JOHN, IN 46373-8403
(219) 680-9705
Mailing address
11938 W 108TH PL APT SUITE, SAINT JOHN, IN 46373-8403
(219) 680-9705
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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