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Organization
MATT BONANDER LLC
Active
Organization
MATT BONANDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW ELLIS BONANDER PT, DPT (PHYSICAL THERAPIST)
(940) 535-8105
Entity
Organization
Contact information
Practice address
4118 HERDSMAN DR, KRUM, TX 76249-1556
(940) 535-8105
Mailing address
4118 HERDSMAN DR, KRUM, TX 76249-1556
(940) 535-8105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/29/2022
Last updated
10/01/2024
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