Individual
JANAE BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1523 EAGLE AVE NW, PALM BAY, FL 32907-8678
(321) 557-0866
Mailing address
1523 EAGLE AVE NW, PALM BAY, FLORIDA, PALM BAY, FL 32907-8678
(321) 557-0866
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19474
FL
224Z00000X
Occupational Therapy Assistant
218433
TX
224Z00000X
Occupational Therapy Assistant
—
CA
Other
Enumeration date
05/11/2023
Last updated
02/25/2025
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