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Bonnie Topham

Physical Therapist in Scarborough, ME. Individual provider (NPI-1).

NPI number1033749239
StatusActive
Last updated in NPPESJan 16, 2020

Details

NPI
1033749239
Entity type
Individual (NPI-1)
Name
Bonnie Topham
Sex
Female
Sole proprietor
No
Enumeration date
Jan 16, 2020
Certification date
Jan 16, 2020
Last updated
Jan 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT884MEYes
225100000X Physical Therapist9250MA
225100000X Physical Therapist2305209073VA

Practice location

17 Pleasant Ave
Scarborough, ME 04074-9305

Phone 207-776-3648

Mailing address

17 Pleasant Ave
Scarborough, ME 04074-9305

Phone 207-776-3648

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