Individual
TAMELA J BOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
001 NORTH AGENCY AVENUE, FT. YATES, ND 58538
(701) 854-3678
(701) 854-7181
Mailing address
PO BOX 697, FORT YATES, ND 58538-0697
(701) 854-3678
(701) 854-7181
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
558
ND
Other
Enumeration date
03/21/2006
Last updated
06/10/2013
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