Provider Demographics
NPI:1588158414
Name:BOYLE, ERIN MARGARET (COTA/L)
Entity type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:MARGARET
Last Name:BOYLE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3765 COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-2004
Mailing Address - Country:US
Mailing Address - Phone:440-465-8940
Mailing Address - Fax:
Practice Address - Street 1:739 WEYMOUTH RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-2037
Practice Address - Country:US
Practice Address - Phone:330-725-8831
Practice Address - Fax:330-636-3006
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA007241224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant