Boden, Lisa Renee

Boden, Lisa Renee is an sole proprietor health care provider with primary practice located at 563 Colony Park Dr , Tallmadge OH 44278-2859. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Boden, Lisa Renee can be contacted via phone (330) 630-9780.

Contact Information

Primary practice address
563 Colony Park Dr Tallmadge OH 44278-2859
Phone: (330) 630-9780
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 03952 Ohio

Profile Details

NPI number 1821309808
LBN Legal business name Boden, Lisa Renee
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2010
Last updated Jun 24th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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