Dr. Richard Bohannon, P.T.
Physical Therapist in West Hartford, CT. Individual provider (NPI-1).
NPI number1992990550
StatusActive
Last updated in NPPESSep 7, 2007
Details
- NPI
- 1992990550
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Bohannon
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2007
- Last updated
- Sep 7, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 003777 | CT | Yes |
Practice location
130 Middlebrook RdWest Hartford, CT 06119-1059
Phone 860-233-1033 · Fax 860-233-0609
Mailing address
130 Middlebrook RdWest Hartford, CT 06119-1059
Phone 860-233-1033 · Fax 860-233-0609
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All 95 Physical Therapist providers in West Hartford · All 2,264 providers in West Hartford
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