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AUTUMN BONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
305 S LIVINGSTON ST, MADISON, WI 53703-3513
(608) 250-1775
Mailing address
1326 1/2 VILAS AVE, MADISON, WI 53715-1552

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
13401-24
WI

Other

Enumeration date
05/27/2016
Last updated
05/27/2016
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