Individual
BONNIE JEAN LAMPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
316 DONNA DR, O'FALLON, IL 62269
(618) 660-8686
Mailing address
316 DONNA DR, O'FALLON, IL 62269
(618) 660-8686
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004212
IL
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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