Individual
NICOLE DESHEA BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10742 OAKLINE DR, BATON ROUGE, LA 70809-3317
(225) 635-2448
Mailing address
11306 MCCULLOUGH RD, ZACHARY, LA 70791-8712
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4903
LA
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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