Individual
JAMES ANTHONY BOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(480) 837-4565
Mailing address
875 W PECOS RD APT 2095, CHANDLER, AZ 85225-7601
(740) 348-6924
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7067
AZ
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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