Individual
NICOLE BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15900 ROUTE 6, TROY, PA 16947-9308
(570) 297-4111
Mailing address
319 WILLOW ST, MONTOURSVILLE, PA 17754-2127
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009341
PA
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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