Individual
DIANE MARIE BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15805
MD
225100000X
Physical Therapist
PT011448L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016
BLUE SHIELD OF MD
MD
01
—
1721761
AETNA
—
01
—
41113504
BLUE SHIELD OF MD
MD
01
—
4616322
AETNA
—
Enumeration date
09/16/2006
Last updated
08/01/2018
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