Individual
COREY PAUL BOYACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1051 EMERALD CT, SARATOGA SPRINGS, UT 84045-8142
(801) 787-9166
Mailing address
1051 EMERALD CT, SARATOGA SPRINGS, UT 84045-8142
(801) 787-9166
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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