NPI 1083940548

Nicole Deshea Boyle

Practitioner Physical Therapy Assistant Baton Rouge, LA

Practice location

Address: 10742 Oakline Dr, Baton Rouge, LA 70809-3317
Phone: (225) 635-2448
Mailing address: 11306 McCullough Rd, Zachary, LA 70791-8712

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A4903 (LA)

Other Physical Therapy Assistant providers in Louisiana →

Registry record

NPI: 1083940548
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2009
Record last updated: 19 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.