Individual
SUSAN JEAN BOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 E. STATE STREET, KENNETT SQUARE, PA 19348
(610) 444-6350
Mailing address
2485 JOHNNA CT, PALM HARBOR, FL 34685-2032
(727) 403-5719
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8881
FL
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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