Individual
EMILY CAROL BOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8630 164TH AVE NE STE 203, REDMOND, WA 98052-1906
(425) 658-4980
Mailing address
8630 164TH AVE NE STE 203, REDMOND, WA 98052-1906
(425) 658-4980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0015443
CO
Other
Enumeration date
03/22/2018
Last updated
01/19/2024
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