| NPI | 1487934741 |
|---|---|
| Former Name | CORTNEY LEE BOHNEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104061) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: MN 104061) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2021-03-31 |