John Boylan, COTA MFDc
Occupational Therapy Assistant in Accident, MD. Individual provider (NPI-1).
NPI number1124580667
StatusActive
Last updated in NPPESApr 3, 2019
Details
- NPI
- 1124580667
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Boylan
- Credential
- COTA MFDc
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2019
- Last updated
- Apr 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 4796 | CA | Yes |
Practice location
116 Accident Bittinger RdAccident, MD 21520-1312
Phone 540-359-1985
Mailing address
116 Accident Bittinger RdAccident, MD 21520-1312
Phone 540-359-1985
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