Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 29500 | CA |
NPI | 1003164880 |
---|---|
Provider Name | Janine Michelle Boyer |
First Address | Monterey, CA 93940-5362 |
Second Address | Monterey, CA 93940-5362 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2012 |
Last Update Date | 16/11/2012 |