Individual
BONITA M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 W ALEX BELL RD, DAYTON, OH 45459-3002
(937) 321-4824
Mailing address
610 W ALEX BELL RD, DAYTON, OH 45459-3002
(937) 321-4824
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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