Individual
SUSAN LYNN BOSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
211 S CURTIS ST, LAKE GENEVA, WI 53147-2052
(262) 248-3145
Mailing address
W4912 FARM VILLAGE LN, ELKHORN, WI 53121-2710
(262) 742-4184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2674-026
WI
Other
Enumeration date
06/06/2009
Last updated
06/06/2009
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