Individual
JOHN BOHARIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
348 EASTGROVE RD, RIVERSIDE, IL 60546-1708
(708) 829-7331
Mailing address
348 EASTGROVE RD, RIVERSIDE, IL 60546-1708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12215
NC
225X00000X
Occupational Therapist
OC015991
PA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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