Individual
NICOLE BOESCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 VILLAGE RD, NEOSHO, MO 64850-9076
(800) 381-0822
(352) 565-5201
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(800) 381-0822
(352) 565-5201
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2006012361
MO
Other
Enumeration date
05/05/2009
Last updated
04/17/2026
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