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1326606971
ANTHONY L BOHANNON
PADUCAH, KY
NPI
1326606971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 002605)
Enumeration Date
2019-05-30
Last Update Date
2020-12-08
Business Address
ANTHONY L BOHANNON PT
115 KIANA CT
PADUCAH, KY 42001-6787
Phone number: 270-534-1200
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Mailing Address
ANTHONY L BOHANNON PT
2700 STANLEY GAULT PKWY STE 129
LOUISVILLE, KY 40223-5176
Phone number: 502-253-4914
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