Individual
MICHELE L BOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
208 ZACHERY DR, MOUNT VERNON, IL 62864-6712
(618) 204-5497
Mailing address
20652 LOCUST RD, HOYLETON, IL 62803-2030
(618) 493-7559
(618) 493-7559
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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