| NPI | 1417110560 |
|---|---|
| Former Name | BOBBI JO PENSIS BOEHMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: FL PT 18806) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT9616) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2025-04-16 |