Individual
MR. DOUGLAS ANDREW BONNESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9727 E SHANNON WOODS CIR STE 160, WICHITA, KS 67226-4102
(316) 681-0824
(316) 219-1349
Mailing address
6407 E 39TH CT N, WICHITA, KS 67226-2455
(316) 687-9240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01966
KS
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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