Mara Danielle Bonawitz, PTA

NPI #1528665304 in Twin Falls, Idaho

Provider Information

NPI Number: 1528665304
Entity Type: Individual
Name: Mara Danielle Bonawitz, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 5, 2020
Last Updated: Oct 5, 2020

Practice Location

Address: 420 PHEASANT RD
City: Twin Falls
State: Idaho
ZIP Code: 83301-8728
Phone: (208) 421-2884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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