Individual
KEVIN PHARIS BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 SE 192ND AVE STE 109, CAMAS, WA 98607-7415
(360) 210-5440
Mailing address
1905 SE 192ND AVE STE 109, CAMAS, WA 98607-7415
(360) 210-5440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15214-24
WI
Other
Enumeration date
11/23/2020
Last updated
03/20/2024
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