Individual
MRS. MARYSIA ADELE BOECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11105 KNOTT AVE, SUITE A, CYPRESS, CA 90630-5137
(714) 893-7399
(714) 893-7389
Mailing address
11105 KNOTT AVE, SUITE A, CYPRESS, CA 90630-5137
(714) 893-7399
(714) 893-7389
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 37359
CA
Other
Enumeration date
12/14/2010
Last updated
01/30/2013
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