Individual
MELISSA BONGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
215 RADIO DR STE 100, WOODBURY, MN 55125-5817
(612) 596-6155
Mailing address
215 RADIO DR STE 100, WOODBURY, MN 55125-5817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6991
MN
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/22/2021
Last updated
01/22/2024
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