Individual
JULAINE MARIE BOENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1125 N 13TH ST, SHEBOYGAN, WI 53081-3281
(920) 208-9648
Mailing address
129 HIGHLAND DR, GLENBEULAH, WI 53023-1111
(920) 694-0880
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1593
WI
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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