Catherin Darlene Boskoutch, LPTA 01611

Individual provider Active NPI Physical Therapy Assistant · Olmsted Falls, OH

NPI 1992900567 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992900567
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
LPTA 01611 (OH)
Practice address
8931 Forest View Drive
Olmsted Falls, OH 44138
Phone
(440) 293-9000
NPI assigned
Jun 15, 2007
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

LicenseStateTypeSpecialty
LPTA 01611OHMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X LPTA 01611 OH Yes

Addresses

Primary practice location

8931 Forest View Drive
Olmsted Falls, OH 44138

Mailing address

8931 Forest View Drive
Olmsted Falls, OH 44138
Phone (440) 293-4526

Other providers in Olmsted Falls, OH

All providers in Olmsted Falls, OH · Physical Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.