Avery L Bonnema, DPT
Physical Therapist in Spokane, WA. Individual provider (NPI-1).
NPI number1164034393
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1164034393
- Entity type
- Individual (NPI-1)
- Name
- Avery L Bonnema
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2020
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT61061445 | WA | Yes |
Practice location
3009 S Grand BlvdSpokane, WA 99203-2559
Phone 509-868-0849
Mailing address
3009 S Grand BlvdSpokane, WA 99203-2559
Phone 509-868-0849
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