Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES HOLLOWAY BOARDMAN IV, OTR
ActiveMR. CHARLES HOLLOWAY BOARDMAN IV, OTR is a Occupational Therapist healthcare provider located in LAKE CITY, Florida. NPI 1164417895 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LAKE CITY, FL
Registration Details
- NPI Number
- 1164417895
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2005 (20.860647865829 yrs)
- Last Updated
- Feb 25, 2012
- License
-
OT14416FL (FL)
Practice Information
- Address
-
619 SOUTH MARION AVENORTH FLORIDA / SOUTH GEORGIA VETERANS HEALTH SYSTEMLAKE CITY, FL, 32025Browse FL providers · Browse ZIP 32025
- Phone
- 3867553016
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in LAKE CITY, FL
| Name | Credential | NPI |
|---|---|---|
| MISS ARMENTHIS YOUHON LESTER | OTR/L | 1366499816 |
| MRS. LYNN MARIE BEMIS | OTR/L | 1568419752 |
| MRS. ANNIE PATRICIA KLINE | OTR/L | 1730136946 |
| DR. TOMIKA LASHA LOWE-LOPEZ | PT, DPT, OTR/L | 1891908836 |
| MRS. MEGAN MARKHAM HANSEN | OT/L | 1679756035 |
| MRS. ASHLEE DAWN CASHION | OTR/L | 1548497845 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.