Individual
HEATHER NICOLE BOHRISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT, BCTMB
Contact information
Practice address
12833 W ORANGE DR, LITCHFIELD PARK, AZ 85340-4102
(818) 661-0867
Mailing address
12833 W ORANGE DR, LITCHFIELD PARK, AZ 85340-4102
(818) 661-0867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014565
AZ
225700000X
Massage Therapist
MT-26863
AZ
Other
Enumeration date
02/09/2021
Last updated
10/05/2022
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