Individual
MRS. AMY KRISTEN BOETTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
5224 BAYSHORE RD, OREGON, OH 43616-4404
(419) 698-8003
Mailing address
13467 CHESTNUT ST, SOUTHGATE, MI 48195-1258
(419) 250-8759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 006209
OH
Other
Enumeration date
11/20/2012
Last updated
02/17/2021
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