Individual
MR. JOHN BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA MFDC
Contact information
Practice address
116 ACCIDENT BITTINGER RD, ACCIDENT, MD 21520-1312
(540) 359-1985
Mailing address
116 ACCIDENT BITTINGER RD, ACCIDENT, MD 21520-1312
(540) 359-1985
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4796
CA
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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