Occupational Therapist

Mr. Charles Holloway Boardman Iv, OTR

619 South Marion Ave, North Florida / South Georgia Veterans Health System, Lake City, Florida, 32025

About Mr. Charles Holloway Boardman Iv

Mr. Charles Holloway Boardman Iv is a therapist based in Lake City, Florida 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.

Practice Information

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.

Provider Name Mr. Charles Holloway Boardman Iv
Specialization Occupational Therapy
Credentials OTR
Gender Male
Practice Address: 619 South Marion Ave, North Florida / South Georgia Veterans Health System
Lake City, FL - 32025

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 Number1164417895
NPI Enumeration Date: 19 Sep, 2005
NPI Last Update On: 25 Feb, 2012

Medical Licenses:

Healthcare professionals can hold 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 NumberSpecializationStateStatus
OT14416FLOccupational Therapy FloridaPrimary

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.
IdentifierTypeStateIssuer
OT14416FLOtherFloridaFLORIDA DEPARTMENT OF HEALTH
AA499343OtherNBCOT

Mailing Address

Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned Practice address.

Mr. Charles Holloway Boardman Iv
355 Sw Sweetbreeze Dr,
Lake City, FL - 32024-3698
Phone: 386-755-3016

Book an Appointment with Mr. Charles Holloway Boardman Iv

To schedule an appointment, contact Mr. Charles Holloway Boardman Iv at 619 South Marion Ave, North Florida / South Georgia Veterans Health System, Lake City, Florida or call on below stated phone number.

Call to Book an Appointment

Frequently Asked Questions

Below are some commonly asked questions about Mr. Charles Holloway Boardman Iv:

Charles Holloway Boardman Iv is an occupational therapist specializing in Occupational Therapy. He 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.

Yes, Charles Holloway Boardman Iv is currently accepting new patients. To schedule an appointment, contact the office directly and schedule an appointment.

Charles Holloway Boardman Iv practices at 619 South Marion Ave, North Florida / South Georgia Veterans Health System, Lake City, Florida, 32025.

To schedule an appointment with Charles Holloway Boardman Iv, please contact the office at 386-755-3016.

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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.