Doctor Name: | BONITA BISHOP |
NPI Number: | 1750708319 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1030245 |
Business Practice Address: | 17 Bishop Gate Allen, TX - 750025290 |
Business Phone Number: | 9727276273 |
Business Fax Number: | |
Mailing Address: | 1105 Central Expy N, Suite 120 Medical Office Bldg 1 ALLEN |
State: | TX |
Postal Code: | 750136103 |
Phone Number: | 9727276273 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2014 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1030245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |