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Individual

LORI A BONIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1235 S 24TH ST, MANITOWOC, WI 54220
(920) 682-8254
Mailing address
3911 INDIAN BLUFF DR, MANITOWOC, WI 54220
(920) 682-9280

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4774-24
WI

Other

Enumeration date
02/25/2010
Last updated
02/25/2010
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