Individual
LAWRENCE BOATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, PTA
Contact information
Practice address
3975 STATE HIGHWAY 6 S STE 700, COLLEGE STATION, TX 77845-5899
(979) 696-2000
Mailing address
218 STERLING ST APT 201, COLLEGE STATION, TX 77840-4066
(704) 491-0462
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2076213
TX
225700000X
Massage Therapist
Primary
114500
TX
Other
Enumeration date
01/18/2019
Last updated
11/17/2024
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