Individual
TANYA RENOIS BONVILLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
205 HIGHWAY 43 N, SARALAND, AL 36571-2126
(251) 679-0015
(251) 679-0091
Mailing address
205 HIGHWAY 43 N, SARALAND, AL 36571-2126
(251) 679-0015
(251) 679-0091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06643
LA
225100000X
Physical Therapist
Primary
PTH4836
AL
Other
Enumeration date
06/28/2006
Last updated
11/13/2008
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