Individual
BONNIE ANNE EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2629 DEL PRADO BLVD S, CAPE CORAL, FL 33904-5769
(239) 574-4434
Mailing address
527 21ST ST # 69, GALVESTON, TX 77550-2017
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31081
FL
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
10/12/2006
Last updated
05/04/2021
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