Individual
MRS. BECKY JO BOHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
17307 SE 272ND ST STE 126, COVINGTON, WA 98042-5306
(425) 690-3521
(425) 690-9521
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 9203
WA
225100000X
Physical Therapist
PT00009203
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8360588
—
WA
Enumeration date
11/01/2006
Last updated
06/16/2021
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