MRS. Tracy Lynn Boesch, PTA

NPI #1245669050 in Cass City, Michigan

Provider Information

NPI Number: 1245669050
Entity Type: Individual
Name: MRS. Tracy Lynn Boesch, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 2, 2013
Last Updated: Nov 2, 2013

Practice Location

Address: 4782 HOSPITAL DR
City: Cass City
State: Michigan
ZIP Code: 48726-1049
Phone: (989) 872-2174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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