Provider Demographics
NPI:1336366327
Name:BOHLANDER, LAURA MARIE (LAURA BOHLANDER)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:MARIE
Last Name:BOHLANDER
Suffix:
Gender:F
Credentials:LAURA BOHLANDER
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:BOHLANDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAURA BOHLANDER
Mailing Address - Street 1:10175 PARK MEADOWS DR APT 304
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-8436
Mailing Address - Country:US
Mailing Address - Phone:303-921-4171
Mailing Address - Fax:
Practice Address - Street 1:10175 PARK MEADOWS DR APT 304
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-8436
Practice Address - Country:US
Practice Address - Phone:303-921-4171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist