Individual
LEXI M BOSWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1253 SCALP AVE, JOHNSTOWN, PA 15904-3137
(814) 269-9606
Mailing address
510R EDGEHILL DR, JOHNSTOWN, PA 15905-2227
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003798
PA
Other
Enumeration date
02/18/2006
Last updated
07/08/2007
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