Provider Demographics
NPI:1508039157
Name:BOYLE, LINDA MCGRATH (DPT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MCGRATH
Last Name:BOYLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:520 PHILADELPHIA ST
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3902
Mailing Address - Country:US
Mailing Address - Phone:724-463-7478
Mailing Address - Fax:724-463-0931
Practice Address - Street 1:351 MAIN ST
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2419
Practice Address - Country:US
Practice Address - Phone:215-256-6740
Practice Address - Fax:215-256-9280
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT003884L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396749Medicare PIN