Individual
BONNIE TAYLOR DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6842 RACE TRACK RD STE B, BOWIE, MD 20715-3011
(240) 544-0200
(301) 464-1053
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25405
MD
Other
Enumeration date
04/06/2015
Last updated
05/28/2019
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