Individual
BONNIE SUE KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
112 GAUL DR, SERGEANT BLUFF, IA 51054-8963
(712) 943-7644
Mailing address
1616 W 1ST ST, SIOUX CITY, IA 51103-4204
(712) 258-7344
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00340
IA
225200000X
Physical Therapy Assistant
0084
SD
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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