Individual
KAREN R BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2120 ENTERPRISE DR, SUITE A, BILOXI, MS 39531-4039
(228) 388-1002
(228) 388-1006
Mailing address
4457 POPPS FERRY RD, LT 177, DIBERVILLE, MS 39540-2351
(228) 396-0805
(256) 350-7757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1497
MS
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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