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Individual

MRS. CIARA BOSTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTRL

Contact information

Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 798-6170
Mailing address
200 44TH ST W, BRADENTON, FL 34209-2958
(941) 538-9524

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12283
FL

Other

Enumeration date
03/21/2007
Last updated
07/08/2007
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