Matthew Alvin Bosma, DPT

NPI #1124477229 in Mitchell, South Dakota

Provider Information

NPI Number: 1124477229
Entity Type: Individual
Name: Matthew Alvin Bosma, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 9, 2016
Last Updated: Jun 9, 2016

Practice Location

Address: 910 S EDGERTON
City: Mitchell
State: South Dakota
ZIP Code: 57301
Phone: (605) 996-4778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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