Individual
BONNIE D MAUPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
901 SEVEN OAKS RD, BONHAM, TX 75418-3237
(903) 583-2191
Mailing address
3754 COUNTY ROAD 2225, IVANHOE, TX 75447-4131
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2035087
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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