Individual
KRISTA MICKELLE BOYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5570 MAIN ST, SUPPLEMENTAL HEALTH CARE, WILLIAMSVILLE, NY 14221-5477
(888) 317-0494
(888) 317-0495
Mailing address
5570 MAIN ST, SUPPLEMENTAL HEALTH CARE, WILLIAMSVILLE, NY 14221-5477
(888) 317-0494
(888) 317-0495
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008219
NY
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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