Boleware, Lee Anne

Boleware, Lee Anne is an sole proprietor health care provider with primary practice located at 130 Heights Ave , Inverness FL 34452-4571. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Boleware, Lee Anne can be contacted via phone (352) 419-6570.

Contact Information

Primary practice address
130 Heights Ave Inverness FL 34452-4571
Phone: (352) 419-6570
Fax: (888) 639-2521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA19646 Florida

Profile Details

NPI number 1114393816
LBN Legal business name Boleware, Lee Anne
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2015
Last updated Aug 17th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114393816 NPPES
Florida Other PTA19646 STATE LICIENCE

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