Individual
SUSAN ELIZABETH BOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8005 CORNERWOOD DR, AUSTIN, TX 78717-4927
(512) 716-1890
(512) 716-1890
Mailing address
8507 CHAT LN, ROUND ROCK, TX 78681-3683
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1054252
TX
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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