Individual
MEGAN GWENDOLYN BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BARBER PL, ERIE, PA 16507-1863
(814) 460-6001
Mailing address
100 BARBER PL, ERIE, PA 16507-1863
(814) 460-6001
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT027776
PA
Other
Enumeration date
07/19/2019
Last updated
10/25/2019
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