Individual
LANNY L BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2000 TRIDENT WAY, SAN DIEGO, CA 92155-5599
(619) 437-2361
(619) 437-3197
Mailing address
2000 TRIDENT WAY, SAN DIEGO, CA 92155-5599
(619) 437-2361
(619) 437-3197
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
PT15984
CA
2251S0007X
Sports Physical Therapist
Primary
PT15984
CA
2251X0800X
Orthopedic Physical Therapist
PT15984
CA
Other
Enumeration date
01/11/2007
Last updated
09/11/2025
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