Individual
BONNIE JEAN WILKING-PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2550 UNIVERSITY AVE W, STE 189S, SAINT PAUL, MN 55114-1052
(651) 332-7474
(651) 332-7475
Mailing address
2550 UNIVERSITY AVE W, STE 189S, SAINT PAUL, MN 55114-1052
(651) 332-7474
(651) 332-7475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4111
MN
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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