Individual
PRINCESS BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
379 PINEHAVEN STREET EXT, LAURENS, SC 29360-2672
(864) 984-6584
Mailing address
201 REEDY FORK RD APT D5, LAURENS, SC 29360-9173
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4914
SC
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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