Individual
KAREN J BONIFAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
713 N LEONARD ST, WEST SALEM, WI 54669-1229
(608) 786-2274
Mailing address
3127 HOWRY ST, LA CROSSE, WI 54603-1087
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3499-024
WI
225100000X
Physical Therapist
6976
MN
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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