Individual
KELLY BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
328 ELIOT LN, LONG BEACH, CA 90814-3117
(720) 218-5838
Mailing address
328 ELIOT LN, LONG BEACH, CA 90814-3117
(720) 218-5838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18074
CA
Other
Enumeration date
12/29/2017
Last updated
03/12/2025
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