Organization
BOSS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN BOWERS PT, DPT (CEO)
(704) 502-3794
Entity
Organization
Contact information
Practice address
110 CASTLESTONE LN, MATTHEWS, NC 28104-7277
(704) 502-3794
Mailing address
110 CASTLESTONE LN, MATTHEWS, NC 28104-7277
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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