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NPI Code Detail

MEDICARE: DONNA J BOYLE OTR

MEDICARE: DONNA J BOYLE OTR
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
1225X00000XOccupational TherapistOC 3006PA

General Provider Information

NPI Number : 1659595684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA J BOYLE OTR
Provider Business Mailing Address
First Line : 35 ASHLEY CT
Second Line :
City : GLEN MILLS
State : PA
Zip : 19342-2008
Country : US
Telephone Number : 610-558-0940
Fax Number :
Provider Business Practice Location Address
First Line : 340 N MIDDLETOWN RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-5505
Country : US
Telephone Number : 610-891-5856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/08/2007

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Directions to “ DONNA J BOYLE OTR” Practice Location

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