CHARLES HOLLOWAY BOARDMAN

LAKE CITY, FL
NPI1164417895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT14416FL)
Enumeration Date2005-09-19
Last Update Date2012-02-25
Business Address
Mr. CHARLES HOLLOWAY BOARDMAN OTR
619 SOUTH MARION AVE NORTH FLORIDA / SOUTH GEORGIA VETERANS HEALTH SYSTEM
LAKE CITY, FL 32025
Phone number: 386-755-3016
Mailing Address
Mr. CHARLES HOLLOWAY BOARDMAN OTR
355 SW SWEETBREEZE DR
LAKE CITY, FL 32024-3698
Phone number: 386-755-3016
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