Individual
JENNIFER ANNE BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
NIA 1515 S. MERIDIAN RD., ROCKFORD, IL 61102
(815) 964-0937
(815) 964-2210
Mailing address
3063 CHARTWELL CT, ROCKFORD, IL 61114-5826
(815) 713-3281
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
JB57041298P
IL
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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