Individual
BRIDGET BOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
15605 B ST E, TACOMA, WA 98445-1161
(253) 683-5800
Mailing address
15605 B ST E, TACOMA, WA 98445-1161
(253) 683-5800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60499324
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SI60499324
—
WA
Enumeration date
09/09/2014
Last updated
12/11/2015
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