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Individual

CHAD C BOEHM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
961 MEDSKER RD, SEQUIM, WA 98382-8509
(701) 527-0073
Mailing address
961 MEDSKER RD, SEQUIM, WA 98382-8509
(701) 527-0073

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12446
MN
225100000X
Physical Therapist
Primary
PT60727805
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1804
PHYSICAL THERAPIST
ND
01
60351
PHYSICAL THERAPIST
OR
01
PT60727805
PHYSICAL THERAPIST
WA
Enumeration date
08/26/2013
Last updated
02/21/2024
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