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Individual

LAURA A BONSNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7220 S HIGHWAY 16, RAPID CITY, SD 57702-8708
(605) 341-1414
(605) 341-7062
Mailing address
PO BOX 6850, 7220 S HIGHWAY 16, RAPID CITY, SD 57709-6850
(605) 341-1414
(605) 341-7062

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1152
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1254560001
CIGNA MEDICARE
SD
05
5833280
SD
01
650023226
MEDICARE RAILROAD PTAN
Enumeration date
01/25/2006
Last updated
10/15/2008
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