Craig Andrew Boswell PT

NPI 1003891557 - Physical Therapist - 225100000X

NPI Details
NPI 1003891557
Gender Male
Enumeration Date 12/07/2005
Last Updated 01/28/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
61615 ATHLETIC CLUB DRIVE
BEND OR, 97702-3124, US
Phone (541) 382-7890
Fax (541) 382-7498
Business Location
16083 SW UPPER BOONES FERRY RD
SUITE 300
TIGARD OR, 97224-7736, US
Phone (800) 219-8835
Fax (503) 639-9699
Toxanomy
Taxonomy Code 225100000X
License State Oregon
License Number 4247
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According to our database, Craig Andrew Boswell PT NPI is 1003891557, taxonomy code is 225100000X and license number is 4247, license state is located at Oregon. Craig Andrew Boswell PT physically located at 61615 Athletic Club Drive, Bend OR, 97702-3124. NPI Number Craig Andrew Boswell PT has the Individual type.

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1003891557 NPI number is provided on an as is basis without warranty of any kind. 1003891557 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Andrew Boswell PT are for informational purposes only.