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Individual

MRS. LISA R BOHNAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OC60861758

Contact information

Practice address
801 TRAIL RD, SEDRO WOOLLEY, WA 98284-9387
(360) 855-3500
Mailing address
469 RAINBOW DR, SEDRO WOOLLEY, WA 98284-9514
(603) 264-3336

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60861758
WA

Other

Enumeration date
06/08/2018
Last updated
06/08/2018
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