Individual
JESSICA BOSACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
271 BELVIDERE ST E, SAINT PAUL, MN 55107-3140
(651) 627-0615
Mailing address
271 BELVIDERE ST E, SAINT PAUL, MN 55107-3140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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