Individual
EMILY J BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3740 UTICA RIDGE RD, SUITE 4, BETTENDORF, IA 52722-1657
(563) 327-0132
(563) 359-5642
Mailing address
PO BOX 3488, DAVENPORT, IA 52808-3488
(563) 327-0132
(563) 359-5642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004555
IA
225100000X
Physical Therapist
070-015984
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-6672
MEDICARE PART A
IL
01
—
4832001
BLUE CROSS BLUE SHIELD OF IL
IL
Enumeration date
04/27/2009
Last updated
07/25/2012
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