Individual
ANDREA BOSHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
804 N GEORGE ST APT 4, ROME, NY 13440-3459
(315) 368-4229
(315) 368-4229
Mailing address
804 N GEORGE ST APT 4, ROME, NY 13440-3459
(315) 368-4229
(315) 368-4229
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027732-1
NY
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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