Individual
LEE ANNE BOLEWARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
130 HEIGHTS AVE, INVERNESS, FL 34452-4571
(352) 419-6570
(888) 639-2521
Mailing address
130 HEIGHTS AVE, INVERNESS, FL 34452-4571
(352) 419-6570
(888) 639-2521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA19646
STATE LICIENCE
FL
Enumeration date
08/17/2015
Last updated
08/17/2015
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