Bonita Hafer

NPI #1356702518 in Lewiston, Idaho

Provider Information

NPI Number: 1356702518
Entity Type: Individual
Name: Bonita Hafer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Mar 16, 2016
Last Updated: Jan 2, 2019

Practice Location

Address: 2604 16TH AVE
City: Lewiston
State: Idaho
ZIP Code: 83501-3539
Phone: (208) 799-3460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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