MIRANDA BOSS

KEWANEE, IL
NPI1386078756
Former NameMIRANDA MURRAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-020103)
Enumeration Date2013-08-21
Last Update Date2013-10-29
Business Address
-- MIRANDA BOSS DPT, ATC
1258 W SOUTH ST SUITE 1
KEWANEE, IL 61443-8300
Phone number: 309-852-2200
Mailing Address
-- MIRANDA BOSS DPT, ATC
PO BOX 3497
STURTEVANT, WI 53177-0300
Phone number: 888-201-1040
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