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Organization
BOHO PAIN MANAGEMENT AND REHABILITATION LLC
Active
Organization
BOHO PAIN MANAGEMENT AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOHN BOHO O.T.R. (PRESIDENT AND OWNER)
(262) 497-8798
Entity
Organization
Contact information
Practice address
3701 DURAND AVE, RACINE, WI 53405-4458
(262) 497-8798
(262) 554-6354
Mailing address
3715 LINDA LN, RACINE, WI 53405-4827
(262) 554-9465
(262) 554-6354
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
919-026
WI
Other
Enumeration date
04/13/2009
Last updated
04/15/2009
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