Individual
AMY BOECKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
111 E ILLINOIS ST, NEW BADEN, IL 62265-1850
(618) 588-4924
Mailing address
48 N CLEVELAND ST, AVISTON, IL 62216-3572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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