Individual
AMBER LYNN BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
1001 WSW LOOP 323, TYLER, TX 75701-9416
(903) 509-1313
(903) 509-1383
Mailing address
1001 WSW LOOP 323, TYLER, TX 75701-9416
(903) 509-1313
(903) 509-1383
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213039
TX
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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