Individual
JACOB BOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4029 MILL ST, KANSAS CITY, MO 64111-3008
(816) 285-0022
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
11-07566
KS
225100000X
Physical Therapist
Primary
2024010773
MO
Other
Enumeration date
03/13/2024
Last updated
05/31/2024
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