STEVEN BONHAM

SOUTHAVEN, MS
NPI1093979148
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA2173AR)
Enumeration Date2008-07-17
Last Update Date2008-07-17
Business Address
Mr. STEVEN BONHAM PTA
385 NAIL RD APT B-21
SOUTHAVEN, MS 38671-8853
Phone number: 870-897-9503
Mailing Address
Mr. STEVEN BONHAM PTA
385 NAIL RD APT B-21
SOUTHAVEN, MS 38671-8853
Phone number: 870-897-9503