MEDICARE: BETH BOYAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA002692	GA

General Provider Information

NPI Number	:	1073857587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH BOYAR

Provider Business Mailing Address
First Line	:	235 INVERNESS CENTER DR APT 148
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5603
Country	:	US
Telephone Number	:	770-833-5067
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 INVERNESS CENTER DR APT 148
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5603
Country	:	US
Telephone Number	:	770-833-5067
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2012
Last Update Date	:	07/27/2023

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Directions to “ BETH BOYAR ” Practice Location

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