Individual
CHRISTOPHER JAMES BONGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2957 CHURCH ST, STEVENS POINT, WI 54481-5210
(715) 345-1447
Mailing address
2957 CHURCH ST, STEVENS POINT, WI 54481-5210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2013-19
OR
225200000X
Physical Therapy Assistant
Primary
2013-19
WI
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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