Individual
JASON BOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2120 HEIGHTS DR, EAU CLAIRE, WI 54701-6142
(715) 832-1681
Mailing address
2120 HEIGHTS DR, EAU CLAIRE, WI 54701-6142
(715) 832-1681
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2169-19
WI
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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