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DR. DAVID STEVEN BOHANNAN DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1306942198

Individual Registrant:
DR. DAVID STEVEN BOHANNAN DPT
Gender: M
Sole Proprietor

Location and contact information for practice:
515 FORREST PARK WAY  GREENWOOD, AR 72936-5955 US
Tel: 479-597-8318  Fax: 479-996-5079

Contact information for business:
515 FORREST PARK WAY  GREENWOOD, AR 72936-5955 US
Tel: 479-597-8318  Fax: --

Registration Information:
NPI: 1306942198
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ARPT2764

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PT LICENSEPT2764AR01
BC/BS5Y701AR01




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