Individual
AMBER DEE BOSSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 400-4784
Mailing address
2700 STATE ST, BISMARCK, ND 58503-0669
(701) 400-4784
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55209
—
ND
Enumeration date
02/28/2008
Last updated
07/29/2010
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