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MARA DANIELLE BONAWITZ PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1528665304
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
420 PHEASANT RD, TWIN FALLS, ID, 833018728
Phone
(208) 421-2884

Specialties & Taxonomies

Physical Therapy Assistant Primary License: ID #PTA-6225

All Addresses

MAILING

420 PHEASANT RD

TWIN FALLS, ID, 833018728

(208) 421-2884

LOCATION

420 PHEASANT RD

TWIN FALLS, ID, 833018728

(208) 421-2884