Individual
PATRICIA A BOHMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC
Contact information
Practice address
54 SAGE DR, CODY, WY 82414-8228
(307) 899-2244
Mailing address
54 SAGE DR, CODY, WY 82414-8228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-334
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123133200
—
WY
Enumeration date
10/13/2010
Last updated
10/13/2010
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