Derek Bonenfant

NPI #1013341445 in Fort Kent, Maine

Provider Information

NPI Number: 1013341445
Entity Type: Individual
Name: Derek Bonenfant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 21, 2013
Last Updated: Aug 21, 2013

Practice Location

Address: 110 E MAIN ST
City: Fort Kent
State: Maine
ZIP Code: 04743-1407
Phone: (207) 834-4117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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