NPI 1003218843

Stephen Bosworth, PTA

Practitioner Physical Therapy Assistant Port Arthur, TX

Practice location

Address: 6767 9th Ave, Port Arthur, TX 77642-6414
Phone: (409) 722-1485

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2105157 (TX)

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Registry record

NPI: 1003218843
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2014
Record last updated: 24 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.