Dwayne Patrick Bonvillain
Physical Therapist - Sports Physical Therapist - Orthopedic
3615 Hospital St Ste B
Pascagoula
, Mississippi 39581-4112
Dwayne Patrick Bonvillain
Physical Therapist - Sports Physical Therapist - Orthopedic
3615 Hospital St Ste B
Pascagoula
, Mississippi 39581-4112
(228) 762-1602
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About
Features
Specialties
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dwayne Patrick Bonvillain
- 3615 Hospital St Ste B
- Pascagoula, MS
- Zip : 39581-4112
- Phone : (228) 762-1602
Second Address
- Dwayne Patrick Bonvillain
- 3615 Hospital St Ste B
- Pascagoula, MS
- Zip : 39581-4112
- Phone : (228) 762-1602
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251S0007X | Physical Therapist - Sports | PT4504 | MS |
| Y | 2251X0800X | Physical Therapist - Orthopedic | PT4504 | MS |
National Provider Identifier
| NPI | 1538723564 |
|---|---|
| Provider Name | Dwayne Patrick Bonvillain |
| First Address | Pascagoula, MS 39581-4112 |
| Second Address | Pascagoula, MS 39581-4112 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2019 |
| Last Update Date | 25/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.