Individual
EVAN BOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
20 COMMONS CORNER WAY UNIT 12-A, SOUTH KINGSTOWN, RI 02879-2291
(401) 726-7100
(401) 213-8380
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03715
RI
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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