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Kristen Bohan, PT,DPT

Physical Therapist in Manhasset, NY. Individual provider (NPI-1).

NPI number1639844293
StatusActive
Last updated in NPPESSep 23, 2021

Details

NPI
1639844293
Entity type
Individual (NPI-1)
Name
Kristen Bohan
Credential
PT,DPT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2021
Certification date
Sep 23, 2021
Last updated
Sep 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist047600-1NYYes

Practice location

1554 Northern Blvd
Manhasset, NY 11030-3053

Phone 516-627-8470

Mailing address

1983 Marcus Ave Ste 119
New Hyde Park, NY 11042-1016

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