Individual
LLOYDA BHEA BONGCALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1438 HIGHWAY 16 W STE C, GRIFFIN, GA 30223-2096
(770) 233-0350
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(866) 518-0283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1279969
TX
225100000X
Physical Therapist
Primary
PT016427
GA
Other
Enumeration date
09/09/2022
Last updated
01/31/2023
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