Individual
KATHY SUE BONAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3500 S BOULEVARD STE A1, EDMOND, OK 73013-5486
(405) 513-8118
Mailing address
3500 S BOULEVARD STE A1, EDMOND, OK 73013-5486
(405) 513-8118
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 1411
OK
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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