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Search › Minnesota › 225200000X

Bonita Despain, PTA

NPI 1588033658 · on the registry since 2015

Practice

Address
2201 Keenan Dr
International Falls, MN 56649
Phone
(218) 283-8313
Organisation at this address
The Evangelical Lutheran Good Samaritan Society
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225100000X
225200000X
Licence states on file
MO, IL, MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-25

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 Minnesota