| Jean L Bohanan, PT | |
|
53 Gravel St, Wilkes Barre, PA 18705-3738 | |
| (570) 371-5600 | |
| Not Available |
| Full Name | Jean L Bohanan |
|---|---|
| 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 |
|---|---|
| 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 | |
Kara Martin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7300 | |
Danielle Frank, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 182 Butler St, Wilkes Barre, PA 18702 Phone: 570-970-0402 | |
Abigail Richter, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1122 Highway 315 Blvd, Wilkes Barre, PA 18702 Phone: 877-407-3422 Fax: 877-407-4329 | |
Thomas Redenski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 N River St, Wilkes Barre, PA 18702 Phone: 570-831-8622 | |
Devin Nicholas Dougherty, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 182 Butler St, Wilkes Barre, PA 18702 Phone: 570-970-0402 |