Individual
MEGAN R BONNIWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
16366 COUNTY ROAD 30, MAPLE GROVE, MN 55311-1207
(763) 559-0356
Mailing address
16366 COUNTY ROAD 30, MAPLE GROVE, MN 55311-1207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9796
MN
Other
Enumeration date
08/25/2014
Last updated
12/01/2025
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