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Individual

MS. LISA B BOSSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
2601 OCEAN PARKWAY, BROOKLYN, NY 11235
(718) 616-3961
(718) 616-4916
Mailing address
107 SUMMIT AVE, STATEN ISLAND, NY 10306-1354
(718) 979-3867

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
002453
NY

Other

Enumeration date
10/30/2008
Last updated
10/30/2008
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