Individual
MRS. BONNIE S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616
Mailing address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
L2066827
MI
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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