Individual
LORI BOELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1130 N WESTFIELD ST, OSHKOSH, WI 54902-3217
(920) 237-2163
Mailing address
1130 N WESTFIELD ST, OSHKOSH, WI 54902-3217
(920) 237-2163
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
845-027
WI
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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