Individual
MRS. BONNIE ALLEN BOTTOMS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
543 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2903
(843) 249-7232
Mailing address
543 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1773
NC
225200000X
Physical Therapy Assistant
Primary
577
SC
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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