Individual
ALYSIA THERESA BOSWINKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1102 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(434) 979-8628
(434) 979-8536
Mailing address
1200 MONTICELLO AVE, CHARLOTTESVILLE, VA 22902-6255
(434) 297-1636
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305202515
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AETNA7747591
AETNA PROVIDER NUMBER
VA
Enumeration date
02/27/2007
Last updated
07/08/2007
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