Provider Demographics
NPI:1275711475
Name:BOSWELL, FLORENCE ELAINE
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:ELAINE
Last Name:BOSWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:F.
Other - Middle Name:E
Other - Last Name:BOSWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:1212 INVERNESS STREET
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020
Mailing Address - Country:US
Mailing Address - Phone:303-464-8669
Mailing Address - Fax:
Practice Address - Street 1:120 OLD LARAMIE TRAIL EAST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-5600
Practice Address - Country:US
Practice Address - Phone:303-444-0840
Practice Address - Fax:303-444-0838
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO89562251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic