Individual
MS. BONNIE FAYE SCHULMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15354
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132804
AETNA HMO
MD
01
—
5001453
AETNA MANAGED CARE
MD
01
—
J782
BLUE CROSS/BLUE SHIELD
MD
01
—
R718-0001
BLUE CROSS/BLUE SHIELD
DC
Enumeration date
08/01/2006
Last updated
07/08/2007
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