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Individual

MS. BOBBIE JO SONNIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,PT

Contact information

Practice address
2606 CORPORATE AVE E, SUITE 201, MEMPHIS, TN 38132-1708
(901) 380-4404
(901) 380-1340
Mailing address
11700 HIGHWAY 59, SOMERVILLE, TN 38068-5218
(901) 606-8239

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 24066
FL
225100000X
Physical Therapist
Primary
PT000006001
TN
225100000X
Physical Therapist
PT009461
GA
225100000X
Physical Therapist
PT3048
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36572341
MEDICARE INDIVIDUAL PTAN
TN
Enumeration date
12/31/2006
Last updated
11/05/2008
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