Gwendolyn Ann Boyd, OTR
Individual provider Active NPI Occupational Therapist · Jenks, OK
NPI 1033537360 · NPPES record last updated Apr 3, 2014
Key facts
- NPI
- 1033537360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTT.Z11747 (LA)
- Practice address
- 9224 S Elwood Ave
Jenks, OK 74037-2363 - Phone
- (918) 409-0157
- NPI assigned
- Apr 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTT.Z11747 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pill Box Pharmacy Incorporated | Current | Accepting new patients | |
| Medrx Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTT.Z11747 | LA | Yes |
Addresses
Primary practice location
9224 S Elwood Ave
Jenks, OK 74037-2363
Mailing address
7834 S Indian Ave
Tulsa, OK 74132-2858
Phone (918) 398-6511
Other providers in Jenks, OK
- Bloom Speech & Neuro Rehab, LLC
- Blooming Mind PLLC
- Blue Lotus Therapeutic Services, PC
- Megan Bosch
- Crystal Michelle Bowen
- Donna C Bradley
- Patrick Paul Branagan
- Savannah Clay Brian
- Kimberly Lynn Briguccia
- Bristow Endeavor Healthcare, LLC
All providers in Jenks, OK · Occupational Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.