Doctor Name: | RANDI CHERYL BONNER |
NPI Number: | 1013987338 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT CWS |
License Number: | PT14391 |
Business Practice Address: | 1430 Lakeland Hills Blvd Lakeland, FL - 33805 |
Business Phone Number: | 8636807700 |
Business Fax Number: | 8636807958 |
Mailing Address: | Po Box 95004, LAKELAND |
State: | FL |
Postal Code: | 338045004 |
Phone Number: | 8636807000 |
Fax Number: | 8636807420 |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 02/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT14391 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |