MEDICARE: VALERIE W BOSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	03762	MD

General Provider Information

NPI Number	:	1033389721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE W BOSE

Provider Business Mailing Address
First Line	:	1400 NALLEY TER
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-4434
Country	:	US
Telephone Number	:	240-696-3218
Fax Number	:

Provider Business Practice Location Address
First Line	:	PRINCE GEORGE'S COUNTY PUBLIC SCHOOLS / OT OFFICE
Second Line	:	1400 NALLEY TERRACE
City	:	LANDOVER
State	:	MD
Zip	:	20785
Country	:	US
Telephone Number	:	240-696-3218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	11/26/2024

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