Individual
MS. JANE BODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2321 N LEAVITT RD NW, WARREN, OH 44485-1126
(330) 898-0683
Mailing address
2321 N LEAVITT RD NW, WARREN, OH 44485-1126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5161
OH
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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