Individual
MRS. BONNIE LYNNE MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4000 MASSILLON RD, UNIONTOWN, OH 44685-7863
(330) 754-5628
(330) 754-1969
Mailing address
1237 CEDAR WOOD WAY, UNIONTOWN, OH 44685-9574
(330) 571-4994
(330) 754-1969
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 006700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305261
ANTHEM BC/BS
OH
Enumeration date
07/26/2006
Last updated
08/08/2023
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