Individual
BLAIR BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7927 RITCHIE HWY STE B, GLEN BURNIE, MD 21061-4373
(410) 760-1230
Mailing address
7927 RITCHIE HWY STE B, GLEN BURNIE, MD 21061-4373
(410) 760-1230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
28453
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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