Individual
MARYKATHLEEN BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2703 LEGENDS PKWY, PRATTVILLE, AL 36066-7755
(334) 380-4930
(334) 380-4931
Mailing address
8205 PRESIDENTS DR FL 2, HUMMELSTOWN, PA 17036-8621
(717) 839-2159
(717) 565-1104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA9453
AL
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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