Individual
KELLY BONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 6TH ST, HOWARD LAKE, MN 55349-5676
(320) 543-1104
Mailing address
9645 GROVE CIR N, STE 200, MAPLE GROVE, MN 55369-2684
(952) 938-6772
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
12211
MN
Other
Enumeration date
07/30/2021
Last updated
07/20/2022
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