Individual
CLAIRE BONNORONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
320 STANLEY AVE, GREENWOOD, SC 29649-2099
(937) 658-2212
Mailing address
125 EDINBOROUGH CIR APT 4, GREENWOOD, SC 29649-1339
(937) 658-2212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
SC529906
SC
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/06/2016
Last updated
08/08/2020
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