Bonner Physical Therapy P.c.

NPI #1053461533 in Sandpoint, Idaho

Provider Information

NPI Number
1053461533
Entity Type
Organization
Organization Name
Bonner Physical Therapy P.c.
Primary Specialty
Physical Therapist
Enumeration Date
Jan 10, 2007
Last Updated
May 19, 2011

Practice Location

Address
1327 SUPERIOR ST
State
Idaho
ZIP Code
83864-1735
Phone
(208) 263-5731

Authorized Official

Name
MR. STEVEN A SODORFF
Title
PT
Phone
(208) 263-5731

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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