Christy Lyn Boland, M.P.T.
Individual provider Active NPI Physical Therapist · San Diego, CA
NPI 1376715698 · NPPES record last updated Mar 26, 2008
Key facts
- NPI
- 1376715698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 30107 (CA)
- Practice address
- 34800 Bob Wilson Dr
San Diego, CA 92134-1098 - Phone
- (619) 532-7450
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 30107 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 30107 | CA | Yes |
Addresses
Primary practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Mailing address
3245 Elliott St
San Diego, CA 92106-1323
Phone (619) 269-9988
Other providers in San Diego, CA
- Marina Bojorquez
- Pedro Bojorquez Sr.
- Wendy Bojorquez
- Zareena Bokhari
- Brigid Sweeney Boland
- Lilli Boland
- Joe Francis Bolanos
- Liza L Bolanos
- Melissa Bolanos
- Zulma Yesenia Bolanos
All providers in San Diego, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2008. 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.