Provider Demographics
NPI:1841875655
Name:BOYD, CORINNE (OTR/L)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5807 VIA ROMERO
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3414
Mailing Address - Country:US
Mailing Address - Phone:714-686-2366
Mailing Address - Fax:
Practice Address - Street 1:811 N CATALINA AVE STE 1300
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-2190
Practice Address - Country:US
Practice Address - Phone:310-673-8412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics