Individual
JAROM BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1185 W CARMEL DR # C-1, CARMEL, IN 46032-8706
(317) 415-6986
Mailing address
6826 ALYSSA LN, INDIANAPOLIS, IN 46250-3915
(208) 351-4626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014693A
IN
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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