Individual
DANIEL JACOB BOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
13670 METROPOLIS AVE, SUITE 103, FORT MYERS, FL 33912-4346
(239) 561-0700
(239) 561-5643
Mailing address
11 EAGLE ROCK AVE, STE 201, EAST HANOVER, NJ 07936-3167
(239) 574-8922
(239) 573-7356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18531
FL
Other
Enumeration date
10/11/2006
Last updated
05/24/2016
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