Individual
MS. BONNIE IRIS BUYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
905 PENLLYN PIKE, SPRING HOUSE, PA 19477
(215) 646-1500
Mailing address
310 S EASTON RD, APT B406, GLENSIDE, PA 19038-3927
(215) 886-8098
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005792L
PA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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