Individual
MRS. THERESA ANN BONNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
812 PARK AVENUE EAST, MANSFIELD, OH 44905
(419) 747-9355
Mailing address
812 PARK AVE E, MANSFIELD, OH 44905-2860
(419) 747-9355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.014751
OH
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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