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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATUAVIA BONNER

Active

LATUAVIA BONNER is a Physical Therapist Assistant healthcare provider located in GRAND PRAIRIE, Texas. NPI 1598490336 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · GRAND PRAIRIE, TX

Registration Details

NPI Number
1598490336
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2022 (4.0960837969729 yrs)
Last Updated
Jul 17, 2022
License
1478578 (TX)

Practice Information

Address
2303 AVENUE H
GRAND PRAIRIE, TX, 750502789
Browse TX providers · Browse ZIP 75050
Phone
4698839216
Primary Specialty
Physical Therapist Assistant
1744P3200X
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.