Doctor Name: | KAREN JOY BOSILOVICH |
NPI Number: | 1093778987 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, ATC |
License Number: | 29225 |
Business Practice Address: | 3900 S Florida Ave Suite 107 Lakeland, FL - 338131151 |
Business Phone Number: | 8636473665 |
Business Fax Number: | |
Mailing Address: | 4040 Eagles Nest Dr, VALRICO |
State: | FL |
Postal Code: | 33596 |
Phone Number: | 4438120812 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 09/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 29225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |