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1083196463
LISA M BOLMAN
CLEVELAND, OH
NPI
1083196463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OH OT010199)
Enumeration Date
2018-09-03
Last Update Date
2018-09-03
Business Address
Ms. LISA M BOLMAN OTD OTR/L
2529 DETROIT AVE
CLEVELAND, OH 44113-2701
Phone number: 440-623-0838
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Mailing Address
Ms. LISA M BOLMAN OTD OTR/L
25139 BRIDGETON DR
BEACHWOOD, OH 44122-1709
Phone number: 440-623-0838
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