Organization
BOHO PAIN MANAGEMENT AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOHN BOHO O.T.R. (PRESIDENT AND OWNER)
(262) 497-8798
Entity
Organization
Contact information
Practice address
3701 DURAND AVE, RACINE, WI 53405-4458
(262) 497-8798
(262) 554-6354
Mailing address
3715 LINDA LN, RACINE, WI 53405-4827
(262) 554-9465
(262) 554-6354
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
919-026
WI
Other
Enumeration date
04/13/2009
Last updated
04/15/2009
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