Individual
KATHLEEN S BOCHNOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6030 MARKET ST, SUITE 135, PARK CITY, UT 84098-7927
(435) 575-0345
(435) 575-0346
Mailing address
PO BOX 681927, PARK CITY, UT 84068-1927
(435) 575-0345
(435) 575-0346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5111951-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529455447001
—
UT
Enumeration date
10/05/2006
Last updated
07/08/2007
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