NPI 1205219177

Kayla Boland

Practitioner Occupational Therapy Assistant Woodbury, MN

Practice location

Address: 7012 Lake Rd, Woodbury, MN 55125-2433
Phone: (651) 287-9529
Mailing address: 1740 Bluewater Ln, Woodbury, MN 55129-6236

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 201795 (MN)

Other Occupational Therapy Assistant providers in Minnesota →

Registry record

NPI: 1205219177
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2015
Record last updated: 9 Jul 2015

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.