Doctor Name: | MRS. KELLY E BOEHMLER |
NPI Number: | 1023351103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 40QA01088800 |
Business Practice Address: | 67 Higbee Ave Somers Point, NJ - 082442323 |
Business Phone Number: | 6092044849 |
Business Fax Number: | 6096531258 |
Mailing Address: | 2 Arrowhead Trl, OCEAN VIEW |
State: | NJ |
Postal Code: | 082301175 |
Phone Number: | 6096029244 |
Fax Number: | 6096531258 |
NPI Enumeration Date: | 03/27/2013 |
NPI Last Update Date: | 03/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 40QA01088800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |