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Individual

MICHAEL ANTHONY BOSCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
4500 MAGAZINE ST STE 3, NEW ORLEANS, LA 70115
(504) 899-1437
(504) 899-1439
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09962R
LA
225100000X
Physical Therapist
PT297854
CA

Other

Enumeration date
04/19/2018
Last updated
01/26/2021
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