Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 199253 | PA |
Y | 224Z00000X | Occupational Therapy Assistant | 457929 | PA |
NPI | 1083379879 |
---|---|
Provider Name | Emily Michelle Boyer |
First Address | York, PA 17403-5117 |
Second Address | York, PA 17403-5117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2021 |
Last Update Date | 05/11/2021 |