Individual
MRS. JENNIFER JENKINS BONAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4405 AIRLINE DR, BOSSIER CITY, LA 71111-2058
(318) 747-5440
Mailing address
4812 WOODBERRY LN, BENTON, LA 71006-9361
(318) 965-5128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02627
LA
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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