Individual
BONNY SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2000 VILLAGE PROFESSIONAL DR STE 300, CANTON, GA 30114-8499
(678) 880-9472
(678) 880-9624
Mailing address
320 JESSICA WAY, CANTON, GA 30114-5852
(770) 905-9077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001819
GA
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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