Dr. David Boman
Occupational Therapist Nutrition
601 Franklin Ave Apt 4e
Waco
, Texas 76701-2057
Dr. David Boman
Occupational Therapist Nutrition
601 Franklin Ave Apt 4e
Waco
, Texas 76701-2057
(254) 307-3113
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About
Features
Specialties
- Nutrition
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Dr. David Boman
- 601 Franklin Ave Apt 4e
- Waco, TX
- Zip : 76701-2057
- Phone : (254) 307-3113
Second Address
- Dr. David Boman
- 601 Franklin Ave Apt 4e
- Waco, TX
- Zip : 76701-2057
- Phone : (254) 307-3113
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NN1001X | Nutrition | 14090 | TX |
| N | 225X00000X | Occupational Therapist | OTOOOO2375 | WA |
National Provider Identifier
| NPI | 1306098371 |
|---|---|
| Provider Name | Dr. David Boman |
| First Address | Waco, TX 76701-2057 |
| Second Address | Waco, TX 76701-2057 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/10/2008 |
| Last Update Date | 11/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.