Individual
MS. KELLY ANN BOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
49 WIRELESS BLVD, HAUPPAUGE, NY 11788-3935
(631) 382-7311
Mailing address
22 PACE CT, WEST ISLIP, NY 11795-4330
(631) 539-9621
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011548-1
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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