Individual
MS. ELIZABETH ANN BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5286 PARKSIDE DR, PADUCAH, KY 42001-7466
(270) 441-7877
(270) 441-7877
Mailing address
3521 SAVOY CIR, PADUCAH, KY 42001-5267
(270) 994-7751
(270) 441-7877
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
KY
222Q00000X
Developmental Therapist
Primary
200119099
KY
Other
Enumeration date
04/22/2007
Last updated
06/02/2020
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