Individual
MR. RANDAL GENE BOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
600 S WEBSTER AVE, GREEN BAY, WI 54301-3503
(920) 432-3213
Mailing address
498 WINDROSE CT, GREEN BAY, WI 54311-7587
(920) 883-1808
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
3007-026
WI
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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