NPI 1073786968

Peter Andrew Boehnlein, COTA

Practitioner Occupational Therapy Assistant Green Bay, WI

Practice location

Address: 1640 Shawano Ave, Green Bay, WI 54303-3214
Phone: (920) 499-5177
Mailing address: 3151 White Birch St, Kaukauna, WI 54130-3938

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 421-027 (WI)

Other Occupational Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1073786968
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2008
Record last updated: 11 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.