Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 2054087 | TX |
NPI | 1114141058 |
---|---|
Provider Name | Carolyn L. Boyd |
First Address | Katy, TX 77449-6746 |
Second Address | Houston, TX 77056-6500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/12/2014 |