Individual
MS. BONNIE RAE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3211 E MOORES PIKE, BLOOMINGTON, IN 47401-7129
(812) 334-7604
Mailing address
1070 N FOREST VIEW DR N, ELLETTSVILLE, IN 47429-1082
(765) 212-4449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002272A
IN
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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