Healthcare Provider Details

I. General information

NPI: 1720561335
Provider Name (Legal Business Name): CHRISTIANA REBECCA BOSSCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 05/12/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3810 ROSIN CT
SACRAMENTO CA
95834-1656
US

IV. Provider business mailing address

3810 ROSIN CT
SACRAMENTO CA
95834-1656
US

V. Phone/Fax

Practice location:
  • Phone: 916-840-1728
  • Fax: 916-283-8259
Mailing address:
  • Phone: 916-840-1728
  • Fax: 916-283-8259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: