Individual
MICHELE RENEE BOHLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2540 HUMES RD, JANESVILLE, WI 53546
(608) 373-2018
Mailing address
1555 1/2 HUEBBE PKWY, BELOIT, WI 53511-1715
(608) 295-4251
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
992-019
WI
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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