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Individual

MR. MARK C BOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
20800 WESTGATE MALL, SUITE 500, FAIRVIEW PARK, OH 44126-1323
(440) 333-1880
Mailing address
20800 WESTGATE MALL, SUITE 500, FAIRVIEW PARK, OH 44126-1323
(440) 333-1880

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT - 002081
OH

Other

Enumeration date
12/13/2010
Last updated
12/08/2012
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