Individual
COURTNEY ELIZABETH BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45900 GEDDES RD, CANTON, MI 48188-2306
(734) 879-4100
Mailing address
57 E FOREST AVE, YPSILANTI, MI 48198-2832
(734) 330-9049
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004744
MI
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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