Bonnie Marie Black

NPI #1326422379 in Lynchburg, Virginia

Provider Information

NPI Number: 1326422379
Entity Type: Individual
Name: Bonnie Marie Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 18, 2015
Last Updated: Jul 18, 2015

Practice Location

Address: 201 LILLIAN LANE
City: Lynchburg
State: Virginia
ZIP Code: 24502-4379
Phone: (434) 316-0254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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