Provider Demographics
NPI:1649249780
Name:BOYD, JENNIFER L (MPT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:BOYD
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2735 MOSSIDE BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2736
Mailing Address - Country:US
Mailing Address - Phone:412-856-8060
Mailing Address - Fax:412-856-7260
Practice Address - Street 1:2735 MOSSIDE BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2736
Practice Address - Country:US
Practice Address - Phone:412-856-8060
Practice Address - Fax:412-856-7260
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009653L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist