Individual
MISS KIRBY E BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
600 REUNION CT, GRANBURY, TX 76048-1610
(817) 573-3773
Mailing address
3004 KAREN WAY, GRANBURY, TX 76049-2989
(304) 376-1812
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2075579
TX
225200000X
Physical Therapy Assistant
PTA001299
WV
225200000X
Physical Therapy Assistant
PTA21595
FL
Other
Enumeration date
07/03/2007
Last updated
07/17/2013
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