Individual
DR. DAVID STEVEN BOHANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
515 FORREST PARK WAY, GREENWOOD, AR 72936-5955
(479) 597-8318
(479) 996-5079
Mailing address
515 FORREST PARK WAY, GREENWOOD, AR 72936-5955
(479) 597-8318
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2764
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y701
BC/BS
AR
01
—
PT2764
PT LICENSE
AR
Enumeration date
09/16/2006
Last updated
06/23/2020
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