LUCAS ALLEN BOSQUEZ

GARDEN, KS
NPI1871279745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-03307)
Enumeration Date2023-06-26
Last Update Date2023-06-26
Business Address
LUCAS ALLEN BOSQUEZ PTA
401 E SPRUCE ST
GARDEN, KS 67846
Phone number: 620-272-2222
Mailing Address
LUCAS ALLEN BOSQUEZ PTA
2306 GRAND VIEW DR EAST
GARDEN, KS 67846-6784
Phone number: 785-531-9642