Individual
BONNIE BAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 BANKSIDE WAY, NORCROSS, GA 30092-5302
(678) 414-7220
Mailing address
4701 BANKSIDE WAY, NORCROSS, GA 30092-5302
(678) 414-7220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004629
GA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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