Individual
MRS. MAUREEN BOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1950 SILVERLEAF CIR, CARLSBAD, CA 92009-8410
(760) 704-6883
Mailing address
1950 SILVERLEAF CIR, CARLSBAD, CA 92009-8410
(760) 704-6883
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6541
CA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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