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NPI Code Detail

MEDICARE: MISS ASHLEY NICHOLE BOYER OTR/L, PT, DPT

MEDICARE: MISS ASHLEY NICHOLE BOYER OTR/L, PT, DPT
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 Therapist12968CA
2225100000XPhysical Therapist42067CA

General Provider Information

NPI Number : 1215281803
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ASHLEY NICHOLE BOYER OTR/L, PT, DPT
Provider Business Mailing Address
First Line : 330 FRANKLIN RD STE 135A-102
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-3280
Country : US
Telephone Number : 760-256-2800
Fax Number : 760-250-2809
Provider Business Practice Location Address
First Line : 245 CROSSROADS BLVD
Second Line :
City : CARMEL
State : CA
Zip : 93923-8650
Country : US
Telephone Number : 831-574-8386
Fax Number : 831-574-8388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2012
Last Update Date : 11/19/2018

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Directions to “ MISS ASHLEY NICHOLE BOYER OTR/L, PT, DPT” Practice Location

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