| Matt Bonander Llc | |
|
4118 Herdsman Dr, Krum, TX 76249-1556 | |
| (940) 535-8105 | |
| Not Available |
| Full Name | Matt Bonander Llc |
|---|---|
| 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 |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jennifer Maraga |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619119831 PECOS PAC ID: 4789739319 Enrollment ID: I20220315002022 |
| Provider Name | Daphne L Case |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144485939 PECOS PAC ID: 1254773732 Enrollment ID: I20240529003531 |
| Provider Name | Cynthia Weathers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003574328 PECOS PAC ID: 1153854427 Enrollment ID: I20241024002245 |
| Provider Name | Tamara Williard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144361502 PECOS PAC ID: 0648791186 Enrollment ID: I20250312003344 |
| Provider Name | Brianna Verges |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902348998 PECOS PAC ID: 4486057361 Enrollment ID: I20250409000138 |
| Provider Name | David M Barnes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386867364 PECOS PAC ID: 3173048030 Enrollment ID: I20250423001984 |
| 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 |