NPI 1093979148

Steven Bonham, PTA

Practitioner Physical Therapy Assistant Southaven, MS

Practice location

Address: 385 Nail Rd APT B-21, Southaven, MS 38671-8853
Phone: (870) 897-9503

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA2173AR (AR)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1093979148
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2008
Record last updated: 17 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.