Dustin Lee Bonham, P.T.

NPI #1811082787 in Calexico, California

Provider Information

NPI Number: 1811082787
Entity Type: Individual
Name: Dustin Lee Bonham, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Oct 4, 2006
Last Updated: Apr 20, 2015

Practice Location

Address: 2536 ROCKWOOD AVE
City: Calexico
State: California
ZIP Code: 92231-4407
Phone: (760) 768-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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