Individual
MRS. TARA LEE BOEHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4001 S BELVEDERE CT, SPRINGFIELD, MO 65807-5347
(417) 849-2663
Mailing address
4001 S BELVEDERE CT, SPRINGFIELD, MO 65807-5347
(417) 849-2663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000124
MO
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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