Erica M Boyd, OT

Individual provider Active NPI Occupational Therapist · Kingsland, GA

NPI 1013914282 · NPPES record last updated Feb 27, 2008

Key facts

NPI
1013914282
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT003981 (GA)
Practice address
100 Lindsey LN
B
Kingsland, GA 31548-6850
Phone
(912) 510-6104
Fax
(912) 882-6137
NPI assigned
Jul 4, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OT003981GAMDOccupational Therapist
0119003688VAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT003981 GA Yes
Occupational Therapist 225X00000X 0119003688 VA

Addresses

Primary practice location

100 Lindsey LN
B
Kingsland, GA 31548-6850

Mailing address

100 Lindsey LN
B
Kingsland, GA 31548-6850
Phone (912) 510-6104

Other providers in Kingsland, GA

All providers in Kingsland, GA · Occupational Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.