MR. Steven Bonham, PTA
NPI #1093979148 in Southaven, Mississippi
Provider Information
- NPI Number
- 1093979148
- Entity Type
- Individual
- Name
- MR. Steven Bonham, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 17, 2008
- Last Updated
- Jul 17, 2008
Practice Location
- Address
- 385 NAIL RD
- Address 2
- APT B-21
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-8853
- Phone
- (870) 897-9503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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