Matt Bonander Llc | |
4118 Herdsman Dr, Krum, TX 76249-1556 | |
(940) 535-8105 | |
Not Available |
Full Name | Matt Bonander Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 4118 Herdsman Dr, Krum, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154074201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Provider Name | Jason M Abney |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235398579 PECOS PAC ID: 3678620911 Enrollment ID: I20090402000435 |
Provider Name | Jennifer Maraga |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104122381 PECOS PAC ID: 0941605257 Enrollment ID: I20211025000715 |
Provider Name | Matthew Ellis Bonander |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619119831 PECOS PAC ID: 4789739319 Enrollment ID: I20220315002022 |
Provider Name | Joel S Lucky |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962278036 PECOS PAC ID: 6305297540 Enrollment ID: I20240111003491 |
Provider Name | Daphne L Case |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215360789 PECOS PAC ID: 3476998048 Enrollment ID: I20240305003193 |
Provider Name | Kathryn J Copes |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528483013 PECOS PAC ID: 2769614924 Enrollment ID: I20240319002857 |
Provider Name | Holly T Dollar |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144485939 PECOS PAC ID: 1254773732 Enrollment ID: I20240529003531 |
Mailing Address | Practice Location Address |
---|---|
Matt Bonander Llc 4118 Herdsman Dr, Krum, TX 76249-1556 Ph: (940) 535-8105 | Matt Bonander Llc 4118 Herdsman Dr, Krum, TX 76249-1556 Ph: (940) 535-8105 |
Matthew Ellis Bonander, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4118 Herdsman Dr, Krum, TX 76249 Phone: 940-535-8105 Fax: 940-241-4204 |