SearchIdaho225200000X

Mara Bonawitz, PTA

NPI 1528665304 · on the registry since 2020

Practice

Address
420 Pheasant Rd
Twin Falls, ID 83301
Phone
(208) 421-2884

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho