Individual
CALI INEZ BOESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 VIETH DR, JEFFERSON CITY, MO 65109-2056
(573) 635-6193
Mailing address
616 SPRING HILL LN, META, MO 65058-2025
(573) 690-8520
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2018037318
MO
Other
Enumeration date
11/22/2018
Last updated
11/22/2018
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