Individual
MR. MARK R. BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
427 MAPLE ST, FREELAND, PA 18224-1209
(570) 636-3973
Mailing address
427 MAPLE ST, FREELAND, PA 18224-1209
(570) 636-3973
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE002085L
PA
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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