MS. Bonita Lynn Despain, PTA

NPI #1588033658 in International Falls, Minnesota

Provider Information

NPI Number: 1588033658
Entity Type: Individual
Name: MS. Bonita Lynn Despain, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Sep 18, 2015
Last Updated: May 25, 2022

Practice Location

Address: 2201 KEENAN DR
City: International Falls
State: Minnesota
ZIP Code: 56649-2152
Phone: (218) 283-8313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapy Assistant	225200000X

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