Individual
BONNIE JEAN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
515 E DIVISION ST, ROCKFORD, MI 49341-1377
(616) 863-3133
Mailing address
5764 RAMSDELL DR NE, ROCKFORD, MI 49341-9009
(317) 408-9968
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501010516
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5501010516
—
MI
Enumeration date
03/07/2018
Last updated
06/16/2018
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