Individual
MARIKAY BOYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1850 W MATADOR ST, PERU, IN 46970-3711
(765) 689-5000
Mailing address
3393 N MEXICO RD, PERU, IN 46970-9013
(765) 985-3787
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000958A
IN
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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