Healthcare Provider Details

I. General information

NPI: 1497984967
Provider Name (Legal Business Name): CATHERINE J BOYD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2009
Last Update Date: 07/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 WEST AVE
WAYNE PA
19087-3322
US

IV. Provider business mailing address

4005 LAWNVIEW AVE
PITTSBURGH PA
15227-3235
US

V. Phone/Fax

Practice location:
  • Phone: 610-688-3635
  • Fax:
Mailing address:
  • Phone: 412-916-2335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberPT19308
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: