Provider Demographics
NPI:1295776342
Name:BOHNET, HERBERT FREDERICK III (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:FREDERICK
Last Name:BOHNET
Suffix:III
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
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Mailing Address - Street 1:2 LYNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LYNDONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14098-9664
Mailing Address - Country:US
Mailing Address - Phone:585-765-2615
Mailing Address - Fax:
Practice Address - Street 1:311 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-1602
Practice Address - Country:US
Practice Address - Phone:716-560-0515
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY011920-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist