Chrystal Jane Boyle, PTA

Individual provider Active NPI Physical Therapy Assistant · Oxford, NC

NPI 1699396291 · NPPES record last updated May 5, 2020

Key facts

NPI
1699396291
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A7184 (NC)
Practice address
500 Prospect Ave
Oxford, NC 27565-2543
Phone
(919) 693-1531
NPI assigned
May 5, 2020
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)
No

State licenses

LicenseStateTypeSpecialty
A7184NCMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A7184 NC Yes

Addresses

Primary practice location

500 Prospect Ave
Oxford, NC 27565-2543

Mailing address

1005 Amelia Station Way Apt 106
Clayton, NC 27520-9643
Phone (919) 888-1481

Other providers in Oxford, NC

All providers in Oxford, NC · Physical Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.