Individual
MRS. HOLLY A BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
304 W WEAVER ST, STE 103, CARRBORO, NC 27510-2084
(919) 942-0240
(919) 942-0280
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11777
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11777
NC PT LICENSE NUMBER
NC
Enumeration date
12/05/2007
Last updated
11/30/2015
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