Individual
MS. BONNIE ANN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 MEDFORD ST, SOMERVILLE, MA 02143-3421
(617) 629-3919
(617) 629-4644
Mailing address
26 GORHAM RD, FLOOR 1, MEDFORD, MA 02155-2272
(781) 396-0607
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2246
MA
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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