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Individual

CHARLOTTE CLAIRE BOETTCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
31 VAUXHALL ST, NEW LONDON, CT 06320-5723
(860) 442-4363
Mailing address
194 S ANGUILLA RD, PAWCATUCK, CT 06379-1430
(203) 592-3643

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19547110
CT
225X00000X
Occupational Therapist
OT02128
RI

Other

Enumeration date
11/07/2022
Last updated
11/07/2022
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