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DR. JACOB MITCHELL BOEHME DPT

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

Registrant NPI Number: 1952987190

Individual Registrant:
DR. JACOB MITCHELL BOEHME DPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6021 S KINGS RANCH RD STE 5  GOLD CANYON, AZ 85118-4774 US
Tel: 480-982-7948  Fax: 480-982-9145

Contact information for business:
2500 S POWER RD STE 123  MESA, AZ 85209-6688 US
Tel: 480-218-1344  Fax: --

Registration Information:
NPI: 1952987190
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
AZ31677

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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