Doctor Name: | YOLANTA BOESE |
NPI Number: | 1144281759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 6522 |
Business Practice Address: | 5440 E Southern Ave Suite 101 Mesa, AZ - 852062779 |
Business Phone Number: | 4806413533 |
Business Fax Number: | 4806413935 |
Mailing Address: | 949 Old Highway 8 Nw, Suite 100 NEW BRIGHTON |
State: | MN |
Postal Code: | 551122778 |
Phone Number: | 6516040249 |
Fax Number: | 6516040248 |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |