Individual
AUSTIN BONDURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4730 HANNOVER AVE, SAINT LOUIS, MO 63123-5821
(314) 223-3308
Mailing address
4730 HANNOVER AVE, SAINT LOUIS, MO 63123-5821
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28013
MA
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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