Kelsey Bonham

NPI #1316413420 in Mansfield, Pennsylvania

Provider Information

NPI Number: 1316413420
Entity Type: Individual
Name: Kelsey Bonham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 16, 2018
Last Updated: Jun 15, 2021

Practice Location

Address: 416 S MAIN ST STE 1
Address 2: SUITE 1
City: Mansfield
State: Pennsylvania
ZIP Code: 16933-1510
Phone: (570) 662-1920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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