Individual
BREANNE BOHNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12563 VILLAGE CIRCLE DR, SAINT LOUIS, MO 63127-1758
(314) 270-7700
Mailing address
12563 VILLAGE CIRCLE DR, SAINT LOUIS, MO 63127-1758
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2013025654
MO
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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