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Individual

BONNIE CHRISTINE MCLAUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
9101 MIDLOTHIAN TPKE, RICHMOND, VA 23235-5022
(804) 272-9192
(804) 272-9257
Mailing address
1412 JEFFRIES WAY, MIDLOTHIAN, VA 23114-4323
(804) 464-1256

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203299
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139046
BC/BS
VA
01
395862
MAMSI
VA
01
P00258156
RAILROAD MEDICARE
VA
Enumeration date
07/11/2006
Last updated
07/08/2007
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