Individual
DR. KRISTOPHER M BOSELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
10 BRENTWOOD DR, ITHACA, NY 14850-1865
(607) 274-4159
(607) 274-4675
Mailing address
112 ETNA RD, LEBANON, NH 03766-1559
(603) 643-7788
(603) 643-0022
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
044036
NY
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
01/10/2019
Last updated
12/21/2022
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