| Doctor Name: | DANIEL JACOB BOSCO |
| NPI Number: | 1710075163 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 18531 |
| Business Practice Address: | 13670 Metropolis Ave Suite 103 Fort Myers, FL - 339124346 |
| Business Phone Number: | 2395610700 |
| Business Fax Number: | 2395615643 |
| Mailing Address: | 11 Eagle Rock Ave, Ste 201 EAST HANOVER |
| State: | NJ |
| Postal Code: | 079363167 |
| Phone Number: | 2395748922 |
| Fax Number: | 2395737356 |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 18531 |
| 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 |