MS. Bonnie Mevis, MPT

NPI #1992901763 in La Porte, Indiana

Provider Information

NPI Number: 1992901763
Entity Type: Individual
Name: MS. Bonnie Mevis, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MPT
Enumeration Date: Jun 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1203 WASHINGTON ST
City: La Porte
State: Indiana
ZIP Code: 46350-3221
Phone: (219) 326-2397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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