Kayla Judy Bohman, OT

NPI #1174165518 in Chubbuck, Idaho

Provider Information

NPI Number: 1174165518
Entity Type: Individual
Name: Kayla Judy Bohman, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Oct 16, 2019
Last Updated: Oct 16, 2019

Practice Location

Address: 240 W BURNSIDE AVE STE D
City: Chubbuck
State: Idaho
ZIP Code: 83202-4703
Phone: (208) 904-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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