Individual
MRS. TRISHA JOAN BOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8524 S WESTERN AVE, SUITE 112, OKLAHOMA CITY, OK 73139-9246
(405) 640-7045
(405) 702-9397
Mailing address
8316 CANYON TRAIL DR, OKLAHOMA CITY, OK 73135-6240
(405) 317-6140
(405) 702-9397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3984
OK
Other
Enumeration date
10/02/2012
Last updated
10/26/2012
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