Individual
JENNIFER BOSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ORTL
Contact information
Practice address
1200 WRIGHT AVE, ALMA, MI 48801-1133
(800) 321-9357
Mailing address
397 DONNA DR, PORTLAND, MI 48875-1168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010497
MI
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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