Individual
MS. BRENLEY PAIGE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
128 SNOW HILL ST, AYDEN, NC 28513-7237
(252) 746-8223
Mailing address
1155 CREEK RD, BATH, NC 27808-9351
(252) 402-6588
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7734
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A7734
PTA
NC
Enumeration date
03/08/2022
Last updated
03/08/2022
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