Individual
BONNIE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
8410 KAO CIR, MANASSAS, VA 20110-1702
(571) 719-0878
(703) 792-6682
Mailing address
8410 KAO CIR, MANASSAS, VA 20110-1702
(571) 719-0878
(703) 792-6682
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002746
VA
Other
Enumeration date
02/13/2017
Last updated
02/22/2017
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