person
Susan Carmen Boland
Massage Therapist in Port Charlotte, Florida
NPI 1730245457

Susan Carmen Boland is a Massage Therapist based in Murdock, FL. Susan Carmen Boland practices in Port Charlotte, FL. The NPI Number for Susan Carmen Boland is 1730245457 and holds a License No. MA20202 (Florida).

The current practice location address for Susan Carmen Boland is 2101 Tamiami Trl, Port Charlotte, FL and can be reached out via phone at 941-766-1882 and via fax at 941-766-1256.

Location: 2101 Tamiami Trl, Port Charlotte, FL, 33938-0878
person
Provider Profile Details
NPI Number
1730245457
Provider Name
Susan Carmen Boland
Credential
Provider Entity Type
Individual
Gender
Female
Address
2101 Tamiami Trl, Port Charlotte, FL, 33938-0878
Phone Number
941-766-1882
Fax Number
941-766-1256
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C2742 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
2101 Tamiami Trl
City
State
Zip
33948-2186
Phone Number
941-766-1882
Fax Number
941-766-1256
person
Provider Business Mailing Address Details
Address
2101 Tamiami Trl
City
State
Zip
33948-2186
Phone Number
941-766-1882
Fax Number
941-766-1256
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA20202 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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