Jean L Bohanan, PT | |
53 Gravel St, Wilkes Barre, PA 18705-3738 | |
(570) 371-5600 | |
Not Available |
Full Name | Jean L Bohanan |
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Gender | Female |
Speciality | Physical Therapist |
Location | 53 Gravel St, Wilkes Barre, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831321736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | PT006742L (Pennsylvania) | Secondary |
225100000X | Physical Therapist | 006742L (Pennsylvania) | Primary |
Provider Name | Geisinger Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Jean L Bohanan, PT 427 Division St, Mountain Top, PA 18707-1154 Ph: (570) 899-6860 | Jean L Bohanan, PT 53 Gravel St, Wilkes Barre, PA 18705-3738 Ph: (570) 371-5600 |
Annpat Sullivan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 53 Gravel St, Wilkes Barre, PA 18705 Phone: 570-371-5600 | |
Ms. Susan H Barry, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 71 North Franklin Street, Wilkes Barre, PA 18701 Phone: 570-829-2453 Fax: 570-829-2462 | |
Danielle Frank, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 182 Butler St, Wilkes Barre, PA 18702 Phone: 570-970-0402 | |
Thomas Redenski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 N River St, Wilkes Barre, PA 18702 Phone: 570-831-8622 | |
Mrs. Carol W. Nicholson, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Riverstreet Manor, 440 North Main Street, Wilkes Barre, PA 18702 Phone: 570-825-5611 | |
Kristen Digwood, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 182 Butler St, Wilkes Barre, PA 18702 Phone: 570-991-2082 | |
Rebecca Leonori, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 S Meade St, Wilkes Barre, PA 18702 Phone: 570-823-6131 Fax: 570-823-5171 |