Individual
BONNIE SUE BARANOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6000 W HIGHWAY 98, PENSACOLA, FL 32512-0001
(850) 505-6601
Mailing address
4115 ELMCREST DR, PENSACOLA, FL 32504-6714
(850) 449-3661
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA17588
FL
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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