Individual
BRIAN BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17700 W CAPITOL DR, BROOKFIELD, WI 53045-2006
(262) 781-3083
(262) 781-3080
Mailing address
17700 W CAPITOL DR, BROOKFIELD, WI 53045-2006
(262) 781-3083
(262) 781-3080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.011572
IL
225X00000X
Occupational Therapist
Primary
6794
WI
Other
Enumeration date
12/17/2019
Last updated
12/09/2020
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