Individual
BONNIE JO WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
617 E RIVERSIDE DR STE 303, ST GEORGE, UT 84790-8722
(661) 377-1701
Mailing address
617 E RIVERSIDE DR STE 303, ST GEORGE, UT 84790-8722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12896081-2401
UT
2251P0200X
Pediatric Physical Therapist
37267
CA
Other
Enumeration date
11/11/2010
Last updated
12/16/2022
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