Individual
KATI BONDHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 PARK ST E, ANNANDALE, MN 55302-3060
(320) 274-1470
Mailing address
11615 IRELAND AVE NW, ANNANDALE, MN 55302-2349
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1555
MN
Other
Enumeration date
09/09/2012
Last updated
09/09/2012
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