Organization
BOHANNAN PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BOHANNAN DPT (OWNER)
(479) 597-8318
Entity
Organization
Contact information
Practice address
3712 BRIGHTON PL, GREENWOOD, AR 72936-6850
(479) 597-8318
Mailing address
3712 BRIGHTON PL, GREENWOOD, AR 72936-6850
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 2764
AR
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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