Individual
NATASJA BOSSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1001 SW A AVE, LAWTON, OK 73501-3951
(580) 353-8900
Mailing address
1001 SW A AVE, LAWTON, OK 73501-3951
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5179
OK
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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