Individual
MS. PATTY JEAN BOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5405 BABCOCK ST NE, PALM BAY, FL 32905-5020
(321) 722-0660
Mailing address
151 CARILLO ST NE, PALM BAY, FL 32907-3030
(321) 674-0430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2071
FL
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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