NPI | 1649294992 |
---|---|
Former Name | JANEL M BOYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 04001) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21988) |
225100000X Physical Therapist (Licence: MO 2008002533) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2010-07-20 |