Individual
JANE ELLISON BONDURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
831 MCDOW DR, ROCK HILL, SC 29732-2415
(803) 324-9762
(803) 324-9873
Mailing address
52544 WINCHESTER ST, FORT MILL, SC 29707-5972
(803) 396-5603
(803) 547-5693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6600
SC
Other
Enumeration date
03/29/2007
Last updated
02/21/2013
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