Individual
AUTUMN M BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
415 NORTHWOOD DR, OXFORD, AL 36203-5030
(256) 310-8053
Mailing address
415 NORTHWOOD DR, OXFORD, AL 36203-5030
(256) 310-8053
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2040
AL
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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