KELLY BOEHM

PESHTIGO, WI
NPI1285912105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1786-19)
Enumeration Date2011-07-26
Last Update Date2011-07-26
Business Address
-- KELLY BOEHM
701 WILLOW ST
PESHTIGO, WI 54157-1165
Phone number: 715-582-3962
Mailing Address
-- KELLY BOEHM
701 WILLOW ST
PESHTIGO, WI 54157-1165
Phone number:
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