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Individual

MR. WILLIAM H BOEHNKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
604 W WASHINGTON ST, SUITE B, CARSON CITY, NV 89703-3845
(775) 882-5001
(775) 882-5015
Mailing address
604 NORRIE DR, CARSON CITY, NV 89703-1523
(775) 885-2616

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0511
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003413008
NV
Enumeration date
08/02/2005
Last updated
03/21/2017
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