Individual
SAM BOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 844-4211
Mailing address
7769 FOUR LEAF DR, GREENVILLE, IN 47124-9534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006315A
IN
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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