Individual
CARLY BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
14700 BALTIMORE AVE UNIT 106, LAUREL, MD 20707-4878
(267) 535-0473
Mailing address
6926 10 TIMBERS LN, BALTIMORE, MD 21209-1637
(267) 535-0473
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/11/2025
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