ROBERT KELLY BOHANNON

GREAT FALLS, MT
NPI1952808677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MT  PTP-PTA-LIC-9399)
Enumeration Date2018-04-09
Last Update Date2018-04-09
Business Address
ROBERT KELLY BOHANNON PTA
500 15TH AVE S
GREAT FALLS, MT 59405-4324
Phone number: 406-455-2200
Mailing Address
ROBERT KELLY BOHANNON PTA
500 15TH AVE S
GREAT FALLS, MT 59405-4324
Phone number: 406-455-2200