Individual
EILEEN MARY BOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2459 SUNDERLAND RD, MAITLAND, FL 32751-3643
(407) 579-1326
Mailing address
2459 SUNDERLAND RD, MAITLAND, FL 32751-3643
(407) 579-1326
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT8692
FL
Other
Enumeration date
02/05/2007
Last updated
11/24/2015
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