Individual
JENNA BOECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11230 STATE ROUTE 364, SAINT MARYS, OH 45885-9534
(419) 394-6757
Mailing address
1781 WASHINGTON AVE, MARIA STEIN, OH 45860-9806
(419) 305-7198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014199
OH
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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