Doctor Name: | DOROTHY BONNEY |
NPI Number: | 1770989691 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 18KT00552400 |
Business Practice Address: | 1297 Clements Bridge Rd Deptford, NJ - 080963001 |
Business Phone Number: | 8568484442 |
Business Fax Number: | 8568481836 |
Mailing Address: | 1297 Clements Bridge Rd, DEPTFORD |
State: | NJ |
Postal Code: | 080963001 |
Phone Number: | 8568484442 |
Fax Number: | 8568481836 |
NPI Enumeration Date: | 11/05/2014 |
NPI Last Update Date: | 02/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 18KT00552400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |