Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. BONITA LYNN DESPAIN, PTA
ActiveMS. BONITA LYNN DESPAIN, PTA is a Occupational Therapist healthcare provider located in INTERNATIONAL FALLS, Minnesota. NPI 1588033658 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · INTERNATIONAL FALLS, MN
Registration Details
- NPI Number
- 1588033658
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2015 (10.874241372646 yrs)
- Last Updated
- May 25, 2022
- Licenses
-
2015026804 (MO)160.005650 (IL)A2779 (MN)
Practice Information
- Address
-
2201 KEENAN DRINTERNATIONAL FALLS, MN, 566492152Browse MN providers · Browse ZIP 56649
- Phone
- 2182838313
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in INTERNATIONAL FALLS, MN
| Name | Credential | NPI |
|---|---|---|
| JENNY SKOOG | PTA | 1124480181 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.