Provider Demographics
NPI:1154400190
Name:BOHN, JULIANA K (PT)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:K
Last Name:BOHN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1815 C ST
Mailing Address - Street 2:SUITE J36
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4027
Mailing Address - Country:US
Mailing Address - Phone:360-303-8044
Mailing Address - Fax:360-734-6727
Practice Address - Street 1:1815 C ST
Practice Address - Street 2:SUITE J36
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4027
Practice Address - Country:US
Practice Address - Phone:360-303-8044
Practice Address - Fax:360-734-6727
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2017-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT000034932251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2040708Medicaid
WA2040708Medicaid