Individual
MR. PHILLIP ROY BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTL/R
Contact information
Practice address
56 GENESIS DR, LAKE CITY, SC 29560-5531
(843) 389-3685
Mailing address
56 GENESIS DR, LAKE CITY, SC 29560-5531
(843) 389-3685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3826
SC
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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