Individual
CLEO CELINE BOHNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
660 S 2ND W, REXBURG, ID 83440-2300
(208) 356-0220
Mailing address
3839 E 137 N, RIGBY, ID 83442-5735
(208) 241-9117
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5318
ID
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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