Individual
JUSTIN MICHAEL BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4954 N PALMER RD, BETHESDA, MD 20889-1230
(300) 400-1384
Mailing address
4954 N PALMER RD RM 1500, BETHESDA, MD 20889-5630
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
04/17/2024
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