Individual
MR. DAVID ALLEN BOYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT SCS ATC
Contact information
Practice address
274 TOMPKINS STREET, CORTLAND, WY 13045
(607) 756-9886
(607) 756-8939
Mailing address
274 TOMPKINS STREET, CORTLAND, WY 13045
(607) 756-9886
(607) 756-8939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0113261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113261
BCBS
NY
05
—
02140256
—
NY
Enumeration date
09/28/2006
Last updated
07/08/2007
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