# MRS. BONNIE B GATEAU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083698013
- **Gender:** F
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 15497 | MD | Yes |

## Other

- **Enumeration date:** 12/02/2005
- **Last updated:** 06/20/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2157770 | AETNA HMO | — |
| 01 | — | 411592 | OPTIMUM CHOICE | — |
| 01 | — | 521914623001 | TRICARE HEALTHNET | — |
| 01 | — | 5257158 | PPO | — |
| 01 | — | 650014195 | RAILROAD MEDICARE | — |
| 01 | — | KAA9 | BCBS | MD |
| 01 | — | S8880001 | CAREFIRST DC | — |