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Individual

DIANE MARIE BOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
844 WASHINGTON RD STE 101, WESTMINSTER, MD 21157
(410) 876-5600
(410) 876-1623
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878

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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