Individual
JERRI BONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1250 ARBOR RD, WINSTON SALEM, NC 27104-1106
(336) 724-7921
Mailing address
834 MADISON PLACE CIR, KERNERSVILLE, NC 27284-7754
(336) 993-5536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11005
NC
Other
Enumeration date
03/14/2007
Last updated
06/11/2008
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