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NPI Code Detail

MEDICARE: MS. MARTA E BOSCH RPT

MEDICARE: MS. MARTA E BOSCH RPT
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
1225100000XPhysical TherapistPT6415FL

General Provider Information

NPI Number : 1285729962
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARTA E BOSCH RPT
Provider Business Mailing Address
First Line : 132 ROYAL PALM DR
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33301-1411
Country : US
Telephone Number : 954-764-2753
Fax Number :
Provider Business Practice Location Address
First Line : 1414 SE 3RD AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-1910
Country : US
Telephone Number : 954-764-8033
Fax Number : 954-764-5522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/08/2007

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Directions to “ MS. MARTA E BOSCH RPT” Practice Location

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