Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1271 | WI |
NPI | 1326081829 |
---|---|
Provider Name | Mrs. Bonnie Ann Schlinder-Delap |
First Address | Brookfield, WI 53045-6705 |
Second Address | Milwaukee, WI 53295-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1271 | KINESIOTHERAPY CERTIFICAT (01) | WI |