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Individual
JESSICA BOYLE
Active
Individual
JESSICA BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT. DPT, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
046560
NY
2255A2300X
Athletic Trainer
003433-1
NY
Other
Enumeration date
02/12/2019
Last updated
04/24/2023
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