Individual
EDWIN FORREST BONHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
904 STRIMPLE AVE, COLUMBUS, OH 43229-5056
(614) 562-8800
(614) 252-2556
Mailing address
904 STRIMPLE AVE, COLUMBUS, OH 43229-5056
(614) 562-8800
(614) 252-2556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2207
OH
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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