| NPI | 1609025048 |
|---|---|
| Former Name | BONNIE PATRICIA YESIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1153368) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH8592) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2024-05-13 |