Audrey Ann Boksan, PTA
Individual provider Active NPI Physical Therapy Assistant · Mount Joy, PA
NPI 1104068394 · NPPES record last updated Apr 2, 2009
Key facts
- NPI
- 1104068394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE001663L (PA)
- Practice address
- 755 E Main St
Mount Joy, PA 17552-9510 - Phone
- (717) 653-0323
- NPI assigned
- Apr 2, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE001663L | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE001663L | PA | Yes |
Addresses
Primary practice location
755 E Main St
Mount Joy, PA 17552-9510
Mailing address
1287 Willow Creek Dr
Mount Joy, PA 17552-8871
Phone (717) 608-1183
Other providers in Mount Joy, PA
- Jonathan Pura Asuncion
- Declan Paul Barber
- Lorin K Beidler
- Marissa Bennett
- Blueprints for Addiction Recovery
- Amanita Luba Brazil
- Danielle Brodhecker
- Judson Christopher Buckwalter
- William R. Burrichter
- Care Connect Transport Services LLC
All providers in Mount Joy, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.