Individual
MATTHEW BOESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3402 E PARIS WAY, APPLETON, WI 54913-8727
(920) 450-1908
Mailing address
3402 E PARIS WAY, APPLETON, WI 54913-8727
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2337
WI
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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