Individual
JESSICA MARIE BONNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
N7135 ROCKY KNOLL PKWY, PLYMOUTH, WI 53073-3103
(920) 893-6441
Mailing address
902 N 27TH ST, SHEBOYGAN, WI 53081-3608
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4052-19
WI
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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