Organization Name: | TIMOTHY I BONDY INC |
NPI Number: | 1437240066 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY IVAN BONDY (CEO) |
Mailing Address: | 1171 W Conway Rd Harbor Springs |
State: | MI US |
Postal Code: | 49740 |
Phone Number: | 2314876163 |
Fax Number: | 2313470567 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 5501001455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |