Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 2232 | MA |
NPI | 1033322946 |
---|---|
Provider Name | Halina Boyer |
First Address | Monson, MA 01057-9774 |
Second Address | Wilbraham, MA 01095-1730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 08/07/2007 |