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Individual

BONNIE ELIZABETH HOSTETLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

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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