Individual
KATIE BOSHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4016 RAINTREE RD STE 100A, CHESAPEAKE, VA 23321-3700
(757) 270-4110
Mailing address
4016 RAINTREE RD STE 100A, CHESAPEAKE, VA 23321-3700
(757) 270-4110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119008727
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONAL
VA
Enumeration date
08/19/2020
Last updated
11/27/2023
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