Edward Bonner
Edward Bonner is a Physical Therapy Assistant in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2020
Practice location Address checks out
518 W Fletcher AveTampa, FL 33612-3419
Phone: (813) 265-1600
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Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA24826 (FL) |
|---|
Record details
| NPI number | 1588284335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 22, 2020 |
| Last updated in NPPES | April 22, 2020 |
| Certification date | April 22, 2020 |
| Mailing address | 3713 Hileman Dr N, Lakeland, FL 33810-2690 |
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