Individual
ERIN K BOERM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
3540 VILLAGE LANE, GRANITE CITY, IL 62040
(618) 931-3988
Mailing address
3540 VILLAGE LANE, GRANITE CITY, IL 62040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007134
IL
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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