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1720110299
JOY ILSA BOSTROM
BOSTON, MA
NPI
1720110299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 17802)
Enumeration Date
2007-03-11
Last Update Date
2007-07-08
Business Address
Dr. JOY ILSA BOSTROM PT, DPT
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-3023
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Mailing Address
Dr. JOY ILSA BOSTROM PT, DPT
270 HARVARD ST APT 2
MEDFORD, MA 02155-6234
Phone number:
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