Individual
DIANA LYNN BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5263 GOLDEN GATE PKWY, SUITE E, NAPLES, FL 34116-7601
(239) 352-9884
(239) 352-8610
Mailing address
5263 GOLDEN GATE PKWY, SUITE E, NAPLES, FL 34116-7601
(239) 352-9884
(239) 352-8610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT6244
FL
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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