Individual
ASHLEY R BONDURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4257 SEBAGO RD, MEGGETT, SC 29449-6034
(410) 603-0534
Mailing address
4257 SEBAGO RD, MEGGETT, SC 29449-6034
(410) 603-0534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7438
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7438
PT LICENSE
SC
Enumeration date
10/16/2009
Last updated
12/04/2024
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