Individual
BONNIE ELIZABETH FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 BERKMANS LN, GREENVILLE, SC 29605-5606
(864) 657-4473
Mailing address
9 E STABLEGATE RD, GREENVILLE, SC 29615-5624
(407) 719-9133
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
10619
SC
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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