Individual
MCKAYLA RENEE BOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
96 OLIVE ST, BOLIVAR, NY 14715-1310
(716) 790-1069
Mailing address
96 OLIVE ST, BOLIVAR, NY 14715-1310
(716) 790-1069
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
NY
Other
Enumeration date
07/12/2021
Last updated
06/21/2024
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