Individual
MR. KEVIN R BOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
11708 PURE PEBBLE DR, RIVERVIEW, FL 33569-9008
(813) 741-1332
Mailing address
11708 PURE PEBBLE DR, RIVERVIEW, FL 33569-9008
(813) 741-1332
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12771
FL
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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