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Individual
MS. KAREN NANCY BONSACK
Active
Individual
MS. KAREN NANCY BONSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15890
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146498900
WC FED
—
01
—
650003301
MC RAILROAD
—
01
—
J044
BCBS
—
01
—
T350
FEDERAL BCBS
—
Enumeration date
10/10/2005
Last updated
07/28/2023
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