Individual
PAMELA ANN BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 326-2621
(219) 326-2697
Mailing address
1509 STATE ST, LA PORTE, IN 46350-3115
(219) 326-2621
(219) 326-2697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002929A
IN
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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