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Dwayne Patrick Bonvillain, DPT
Orthopedic Physical Therapist in Pascagoula, Mississippi
NPI 1538723564

Dwayne Patrick Bonvillain is a Orthopedic Physical Therapist based in Pascagoula, MS and is specialized in Orthopedic. Dwayne Patrick Bonvillain practices in Pascagoula, MS and has the professional credentials of DPT. The NPI Number for Dwayne Patrick Bonvillain is 1538723564 and holds a License No. PT4504 (Mississippi).

The current practice location address for Dwayne Patrick Bonvillain is 3615 Hospital St Ste B, Pascagoula, MS and can be reached out via phone at 228-762-1602. You can also correspond with Dwayne Patrick Bonvillain through the mailing address at 3615 HOSPITAL ST STE B, PASCAGOULA, MS - 39581-4112 (mailing address contact number: 228-762-1602).

Location: 3615 Hospital St Ste B, Pascagoula, MS, 39581-4112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538723564
Provider Name
Dwayne Patrick Bonvillain
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
3615 Hospital St Ste B, Pascagoula, MS, 39581-4112
Phone Number
228-762-1602
Fax Number
Provider Enumeration Date
04/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3615 Hospital St Ste B
City
Pascagoula
State
Mississippi
Zip
39581-4112
Phone Number
228-762-1602
Fax Number
person
Provider Business Mailing Address Details
Address
3615 Hospital St Ste B
City
Pascagoula
State
Mississippi
Zip
39581-4112
Phone Number
228-762-1602
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
PT4504 (Mississippi)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
PT4504 (Mississippi)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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