Individual
MS. WENDI LEA BOETTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCAT
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4248
Mailing address
39 ROBERTS ST, KIRKWOOD, NY 13795-1018
(607) 775-0808
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000933-1
NY
Other
Enumeration date
06/10/2007
Last updated
07/08/2007
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