Individual
BONNIE ELIZABETH HOSTETLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2412 STRATTON DR, POTOMAC, MD 20854-6229
(240) 328-3929
Mailing address
2412 STRATTON DR, POTOMAC, MD 20854-6229
(240) 328-3929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6783
SC
225100000X
Physical Therapist
9454
TN
225100000X
Physical Therapist
PT010894
GA
225100000X
Physical Therapist
PTL.0011844
CO
Other
Enumeration date
07/19/2013
Last updated
07/25/2013
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