BLAKE LOGAN BOHANAN

KNOXVILLE, TN
NPI1467042069
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  13261)
Enumeration Date2021-01-19
Last Update Date2021-01-19
Business Address
BLAKE LOGAN BOHANAN PT, DPT
4589 KINGSTON PIKE
KNOXVILLE, TN 37919-5229
Phone number: 865-250-9300
Mailing Address
BLAKE LOGAN BOHANAN PT, DPT
3904 SCHAAD RD
KNOXVILLE, TN 37921-2114
Phone number: 865-250-9300
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