National Provider Identifier
McKayla Renee Boll, OTR/L
McKayla Renee Boll, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Bolivar, NY and a listed phone number of (716) 790-1069.
Profile Overview
- NPI
- 1528630399
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- July 12, 2021
- Last Updated
- June 21, 2024
Practice Location
- 96 Olive St
- Bolivar, NY 14715-1310
Phone: (716) 790-1069
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1528630399
- Entity Type
- Individual
- Last Name
- Boll
- First Name
- McKayla
- Middle Name
- Renee
- Credential
- OTR/L
- Mailing Street Address
- 96 Olive St
- Mailing City
- Bolivar
- Mailing State
- NY
- Mailing ZIP Code
- 14715-1310
- Mailing Country
- US
- Mailing Phone
- (716) 790-1069
- Practice Street Address
- 96 Olive St
- Practice City
- Bolivar
- Practice State
- NY
- Practice ZIP Code
- 14715-1310
- Practice Country
- US
- Practice Phone
- (716) 790-1069
- Enumeration Date
- July 12, 2021
- Last Updated
- June 21, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)