Provider Demographics
NPI:1417110560
Name:FLAMENT, BOBBI
Entity type:Individual
Prefix:
First Name:BOBBI
Middle Name:
Last Name:FLAMENT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:JO
Other - Last Name:PENSIS BOEHMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 CEDAR WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLEROI
Mailing Address - State:PA
Mailing Address - Zip Code:15022-3330
Mailing Address - Country:US
Mailing Address - Phone:941-286-0465
Mailing Address - Fax:
Practice Address - Street 1:11 CEDAR WAY
Practice Address - Street 2:
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022-3330
Practice Address - Country:US
Practice Address - Phone:941-286-0465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT9616225100000X
FLPT 18806171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist