Mr. Edward S Boland
Occupational Therapist - Gerontology
2186 Ambleside Dr
Cleveland
, Ohio 44106-4620
Mr. Edward S Boland
Occupational Therapist - Gerontology
2186 Ambleside Dr
Cleveland
, Ohio 44106-4620
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mr. Edward S Boland
- Po Box 112173
- Cleveland, OH
- Zip : 44111-8173
- Phone :
Second Address
- Mr. Edward S Boland
- 2186 Ambleside Dr
- Cleveland, OH
- Zip : 44106-4620
- Phone : (216) 791-1400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology |
National Provider Identifier
| NPI | 1194282673 |
|---|---|
| Provider Name | Mr. Edward S Boland |
| First Address | Cleveland, OH 44111-8173 |
| Second Address | Cleveland, OH 44106-4620 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2019 |
| Last Update Date | 21/02/2019 |
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.