Individual provider · Type 1 NPI

Stacey Lynne Boscoe

Rehabilitation Practitioner · Santa Cruz, CA

NPI number 1417690272 Active

Practice location

3540 Soquel Ave Ste D
Santa Cruz, CA 95062-1769

Call (831) 600-8911 Map

Fax (800) 808-2728

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XOW0009884 (CA)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1417690272

Stacey Lynne Boscoe's National Provider Identifier is 1417690272, issued on Apr 19, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Santa Cruz, CA. The record was last updated on Apr 19, 2022.