Individual
JACQUELINE BOEHNLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3727 BOSWORTH RD, CLEVELAND, OH 44111-6037
(216) 688-1900
Mailing address
5730 BROADVIEW RD, PARMA, OH 44134-1602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011538
OH
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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