Individual
SANDRA LEE BOHLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11555 KENNEDY PL, CEDAR LAKE, IN 46303-8208
(708) 567-4327
Mailing address
11555 KENNEDY PL, CEDAR LAKE, IN 46303-8208
(708) 567-4327
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006559A
IN
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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