Individual
LAURA BONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3745 CHEROKEE ST NW STE 602, KENNESAW, GA 30144-6785
(770) 558-5491
Mailing address
1760 NORTHSIDE DR NW APT 307, ATLANTA, GA 30318-2669
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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