Individual
JACOB BOYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2610 BUFORD RD, NORTH CHESTERFIELD, VA 23235-3422
(804) 923-3933
(804) 324-2999
Mailing address
PO BOX 412307, BOSTON, MA 02241-2307
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305217387
VA
225100000X
Physical Therapist
PT38379
FL
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/30/2022
Last updated
09/30/2025
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