Individual
GLYNNIS MARIE BOYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 LANSDOWNE AVE, DARBY, PA 19023-1218
(610) 461-6510
(610) 461-0534
Mailing address
103 OAKLEY RD, UPPER DARBY, PA 19082-1410
(484) 461-1760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC0009286
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC0009286
OT LISCENSE
PA
Enumeration date
04/09/2007
Last updated
07/08/2007
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