Individual
MR. KERRY BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
990 S PROSPECT ST, MARION, OH 43302-6283
(740) 387-2900
(740) 387-2922
Mailing address
8669 OLENBROOK DR, LEWIS CENTER, OH 43035-8702
(614) 854-9946
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003515
OH
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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