Individual
AMANDA LEE BOECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 W IDLEWILD CT, GREEN BAY, WI 54303-6566
(920) 662-9700
Mailing address
2146 LUXURY DR, SUAMICO, WI 54313-3226
(920) 562-7755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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