Doctor Name: | DR. DAVID STEVEN BOHANNAN |
NPI Number: | 1306942198 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT2764 |
Business Practice Address: | 515 Forrest Park Way Greenwood, AR - 729365955 |
Business Phone Number: | 4795978318 |
Business Fax Number: | 4799965079 |
Mailing Address: | 3712 Brighton Pl, GREENWOOD |
State: | AR |
Postal Code: | 729366850 |
Phone Number: | 4795978318 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT2764 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |