Individual
GINA BOSWORTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
863 N KEEL RIDGE RD, HERMITAGE, PA 16148-3147
(724) 346-4059
Mailing address
863 N KEEL RIDGE RD, HERMITAGE, PA 16148-3147
(724) 346-4059
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009165
PA
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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