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KATHRYN BONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1990 S FRONTAGE RD STE J, VICKSBURG, MS 39180-5232
(601) 883-1983
(601) 883-1938
Mailing address
1990 S FRONTAGE RD STE J, VICKSBURG, MS 39180-5232
(601) 883-1983
(601) 883-1938

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3942
MS

Other

Enumeration date
11/05/2007
Last updated
11/05/2007
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