Individual
MR. ROBERT JOSEPH BOHR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
N6590 FOX LANE, SHAWANO, WI 54166
(715) 851-4707
Mailing address
N6590 FOX LANE, SHAWANO, WI 54166
(715) 851-4707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1332-19
WI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1332-19
WI STATE LICENSE
WI
Enumeration date
08/28/2008
Last updated
01/14/2010
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