Individual
SAMANTHA BOHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
4401 N CAMPUS RIDGE DR, STE. C2000, MIDLAND, MI 48640-6112
(989) 837-9350
Mailing address
4401 N CAMPUS RIDGE DR, STE. C2000, MIDLAND, MI 48640-6112
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001156
MI
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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