Michele L Boester PTA

NPI 1679777304 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1679777304
Gender Female
Enumeration Date 06/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
208 ZACHERY DR
MOUNT VERNON IL, 62864-6712, US
Phone (618) 204-5497
Fax
Business Location
20652 LOCUST RD
HOYLETON IL, 62803-2030, US
Phone (618) 493-7559
Fax (618) 493-7559
Toxanomy
Taxonomy Code 225200000X
License State
License Number
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According to our database, Michele L Boester PTA NPI is 1679777304, taxonomy code is 225200000X Michele L Boester PTA physically located at 208 Zachery Dr, Mount Vernon IL, 62864-6712. NPI Number Michele L Boester PTA has the Individual type.

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1679777304 NPI number is provided on an as is basis without warranty of any kind. 1679777304 is maintained by the National Plan & Provider Enumeration System. The contents of Michele L Boester PTA are for informational purposes only.