MRS. Bonnie S Gore, PTA

NPI #1093834962 in Coppell, Texas

Provider Information

NPI Number
1093834962
Entity Type
Individual
Name
MRS. Bonnie S Gore, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PTA
Enumeration Date
Mar 29, 2007
Last Updated
May 9, 2012

Practice Location

Address
645 E STATE HIGHWAY 121
Address 2
SUITE 600
State
Texas
ZIP Code
75019-7942
Phone
(972) 745-1500

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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