Individual
THERESE BOHUSCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
75 MDOS/SGOPY, BLDG 570, HILL AFB, UT 84050
(801) 777-5400
Mailing address
1100 S 2000 E, APT #E233, CLEARFIELD, UT 84015-1400
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 007673L
PA
Other
Enumeration date
09/06/2005
Last updated
07/08/2007
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