Individual
MRS. BONNIE S GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
645 E STATE HIGHWAY 121, SUITE 600, COPPELL, TX 75019-7942
(972) 745-1500
(972) 471-0700
Mailing address
645 E STATE HIGHWAY 121, SUITE 600, COPPELL, TX 75019-7942
(972) 745-7500
(972) 471-0700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2002598
TX
Other
Enumeration date
03/29/2007
Last updated
05/09/2012
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