Individual
DR. JOY ILSA BOSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3023
Mailing address
270 HARVARD ST, APT 2, MEDFORD, MA 02155-6234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17802
MA
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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