Individual
MS. BONNIE MAY BARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3634 NEW VISION DR, FORT WAYNE, IN 46845-1706
(260) 373-2902
Mailing address
2180 BELLEVUE DR, FORT WAYNE, IN 46825-3806
(260) 373-2902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20901807
IN
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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