Individual
CHANCE LAWRENCE BOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3901 W NORFOLK AVE STE P, NORFOLK, NE 68701-4405
(402) 371-9026
(402) 371-0807
Mailing address
3901 W NORFOLK AVE STE P, NORFOLK, NE 68701-4405
(402) 371-9026
(402) 371-0807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3096
NE
Other
Enumeration date
07/11/2012
Last updated
10/20/2022
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