Individual
JOHNNIE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2421 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4773
(423) 288-3988
Mailing address
2421 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4773
(423) 288-3988
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT0000000866
TN
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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