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NPI Code Detail

MEDICARE: MARY CLAIRE BOYER OTR/L

MEDICARE:   MARY CLAIRE  BOYER  OTR/L
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 TherapistOTR2782AR

General Provider Information

NPI Number : 1659779650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY CLAIRE BOYER OTR/L
Provider Business Mailing Address
First Line : 1103 W COTTONWOOD ST
Second Line :
City : ROGERS
State : AR
Zip : 72758-6342
Country : US
Telephone Number : 831-596-5014
Fax Number :
Provider Business Practice Location Address
First Line : 1268 ELECTRIC AVE
Second Line :
City : SPRINGDALE
State : AR
Zip : 72764-7498
Country : US
Telephone Number : 479-750-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2014
Last Update Date : 12/18/2024

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Directions to “ MARY CLAIRE BOYER OTR/L” Practice Location

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