Individual
MS. LISA M BOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD OTR/L
Contact information
Practice address
2529 DETROIT AVE, CLEVELAND, OH 44113-2701
(440) 623-0838
(216) 927-1801
Mailing address
25139 BRIDGETON DR, BEACHWOOD, OH 44122-1709
(440) 623-0838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010199
OH
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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