Individual
HALEY BOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 E 104TH AVE, THORNTON, CO 80233-4401
(303) 255-4100
Mailing address
2501 E 104TH AVE, THORNTON, CO 80233-4401
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014633
CO
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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