Individual
RILEY BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
103 TEXAS AVE, BANGOR, ME 04401-4324
(207) 947-4557
Mailing address
14 LEDGEWOOD DR, GLENBURN, ME 04401-1210
(207) 735-6502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3260
ME
Other
Enumeration date
04/06/2017
Last updated
09/26/2018
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