National Provider Identifier
Krista Mickelle Boyland, COTA
Krista Mickelle Boyland, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Williamsville, NY and a listed phone number of (888) 317-0494.
Profile Overview
- NPI
- 1730597535
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- July 24, 2014
- Last Updated
- July 24, 2014
Practice Location
- 5570 Main St
- Supplemental Health Care
- Williamsville, NY 14221-5477
Phone: (888) 317-0494
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1730597535
- Entity Type
- Individual
- Last Name
- Boyland
- First Name
- Krista
- Middle Name
- Mickelle
- Credential
- COTA
- Mailing Street Address
- 5570 Main St
- Mailing Address Line 2
- Supplemental Health Care
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5477
- Mailing Country
- US
- Mailing Phone
- (888) 317-0494
- Mailing Fax
- (888) 317-0495
- Practice Street Address
- 5570 Main St
- Practice Address Line 2
- Supplemental Health Care
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5477
- Practice Country
- US
- Practice Phone
- (888) 317-0494
- Practice Fax
- (888) 317-0495
- Enumeration Date
- July 24, 2014
- Last Updated
- July 24, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)