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Mr. Charles Holloway Boardman IV, OTR
Occupational Therapist in Lake City, Florida
NPI 1164417895

Charles Holloway Boardman IV is a Occupational Therapist based in Lake City, FL. Charles Holloway Boardman IV practices in Lake City, FL and has the professional credentials of OTR. The NPI Number for Charles Holloway Boardman IV is 1164417895 and holds a License No. OT14416FL (Florida).

The current practice location address for Charles Holloway Boardman IV is 619 South Marion Ave, Lake City, FL and can be reached out via phone at 386-755-3016.

Location: 619 South Marion Ave, Lake City, FL, 32024-3698
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164417895
Provider Name
Charles Holloway Boardman IV
Credential
OTR
Provider Entity Type
Individual
Gender
Male
Address
619 South Marion Ave, Lake City, FL, 32024-3698
Phone Number
386-755-3016
Fax Number
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OT14416FL 01 FL FLORIDA DEPARTMENT OF HEALTH
AA499343 01 NBCOT
institution
Provider Business Practice Location Address Details
Address
619 South Marion Ave
City
Lake City
State
Florida
Zip
32025
Phone Number
386-755-3016
Fax Number
person
Provider Business Mailing Address Details
Address
619 South Marion Ave
City
Lake City
State
Florida
Zip
32025
Phone Number
386-755-3016
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
-
Taxonomy
225X00000X
License No.
OT14416FL (Florida)
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
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