Mr. Charles Holloway Boardman Iv
OTR | Occupational Therapist
619 South Marion Ave, North Florida / South Georgia Veterans Health System, Lake City
Florida, 32025
386-755-3016 Maps & DirectionsMr. Charles Holloway Boardman Iv is a Lake City, Florida based therapist who is specialized in Occupational Therapy. Active license number of Mr. Charles Holloway Boardman Iv is OT14416FL for Occupational Therapy in Florida. His current practice location is 619 South Marion Ave, North Florida / South Georgia Veterans Health System, Lake City. Patients can reach him at 386-755-3016. Mr. Charles Holloway Boardman Iv is OTR in Occupational Therapy and his NPI number (Unique professional ID assigned by NPPES) is 1164417895.
Mr. Charles Holloway Boardman Iv 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.
Complete Profile:
Mr. Charles Holloway Boardman Iv speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Charles Holloway Boardman Iv |
| Specialization: | Occupational Therapy |
| Gender: | Male |
| Credentials: | OTR |
| Practice Address: | 619 South Marion Ave, North Florida / South Georgia Veterans Health System, Lake City,
Florida, 32025 |
| Phone: | 386-755-3016 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1164417895 |
| NPI Enumeration Date: | 19 Sep, 2005 |
| NPI Last Update On: | 25 Feb, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Charles Holloway Boardman Iv are as mentioned below.
| License Number | Specialization | State | Status | |
| OT14416FL | Occupational Therapy | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Charles Holloway Boardman Iv such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| OT14416FL | Other | Florida | FLORIDA DEPARTMENT OF HEALTH |
| AA499343 | Other | | NBCOT |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Charles Holloway Boardman Iv
355 Sw Sweetbreeze Dr,
Lake City, Florida |
| Zip: | 32024-3698 |
| Phone Number: | 386-755-3016 |
Patients can reach Mr. Charles Holloway Boardman Iv at
619 South Marion Ave, North Florida / South Georgia Veterans Health System, Lake City, Florida or can
call to book an appointment on 386-755-3016.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.