Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Peter Andrew Boehnlein, COTA

Individual provider Occupational Therapy Assistant · NPI 1073786968

Mr. Peter Andrew Boehnlein, COTA is an Occupational Therapy Assistant in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1640 Shawano Ave
Green Bay, WI 54303-3214
Phone: (920) 499-5177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 421-027 (WI)

Record details

NPI number1073786968
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedApril 11, 2008
Last updated in NPPESApril 11, 2008

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