CHANDRA NICHOLE BOARMAN COTA/L
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1821624222- Provider Type
- Individual Provider (NPI-1)
- Credentials
- COTA/L
- Status
- Active
Contact & Location
- Address
- 724 HARVARD DR, OWENSBORO, KY, 423016152
- Phone
- (270) 240-5051
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: KY #172337