Provider Demographics
NPI:1942366216
Name:BOYLAND, ALLISON FAITH (OTR)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:FAITH
Last Name:BOYLAND
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WINDCHIME DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-2933
Mailing Address - Country:US
Mailing Address - Phone:508-339-7320
Mailing Address - Fax:
Practice Address - Street 1:25 WINDCHIME DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-2933
Practice Address - Country:US
Practice Address - Phone:508-339-7320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA606171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor