Individual
DAVID BOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6625 W LINCOLN HWY LOWR LEVEL, CROWN POINT, IN 46307-9678
(219) 440-5360
Mailing address
8874 HANLEY CT, CROWN POINT, IN 46307-1539
(219) 771-9118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013391A
IN
225100000X
Physical Therapist
070017366
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300036139
—
IN
Enumeration date
10/22/2012
Last updated
12/08/2022
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