Individual
MISS TRICIA MADELINE BOYNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
112 OLD JOHNSTOWN RD, FONDA, NY 12068-5410
(518) 853-4415
Mailing address
1130 MEADOWDALE RD, ALTAMONT, NY 12009-4615
(518) 925-6113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009366-1
NY
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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