Individual
GABRIELLE NICOLE BOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1014 SAINT ANDREWS BLVD STE 101, CHARLESTON, SC 29407-7177
(843) 985-0914
Mailing address
1401 CAMP RD APT B, CHARLESTON, SC 29412-3752
(843) 754-4431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12471
SC
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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