Individual
MRS. KRISTEN NICOLE BOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMS, OTRL
Contact information
Practice address
4978 SW 90TH TER, COOPER CITY, FL 33328-3517
(954) 434-4276
(954) 252-8459
Mailing address
4978 SW 90TH TER, COOPER CITY, FL 33328-3517
(954) 434-4276
(954) 252-8459
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT10804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8887551
—
FL
Enumeration date
03/24/2007
Last updated
08/12/2010
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