Individual
NICOLE BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1519 S BOSTON AVE, TULSA, OK 74119-4015
(918) 712-7805
Mailing address
1115 N DENVER AVE, TULSA, OK 74106-4647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2071
OK
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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