PETER ANDREW BOEHNLEIN

GREEN BAY, WI
NPI1073786968
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  421-027)
Enumeration Date2008-04-11
Last Update Date2008-04-11
Business Address
Mr. PETER ANDREW BOEHNLEIN COTA
1640 SHAWANO AVE
GREEN BAY, WI 54303-3214
Phone number: 920-499-5177
Mailing Address
Mr. PETER ANDREW BOEHNLEIN COTA
3151 WHITE BIRCH ST
KAUKAUNA, WI 54130-3938
Phone number: 920-766-3918
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