Healthcare Provider Details

I. General information

NPI: 1831155852
Provider Name (Legal Business Name): KRISTEN L BOYLE OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 04/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 TOWN CTR
NEW BRITAIN PA
18901-5182
US

IV. Provider business mailing address

393 TOWNSHIP LINE RD
CHALFONT PA
18914-1428
US

V. Phone/Fax

Practice location:
  • Phone: 215-340-2216
  • Fax:
Mailing address:
  • Phone: 215-340-2216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC007252L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: