EDWARD BONNER

TAMPA, FL
NPI1588284335
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA24826)
Enumeration Date2020-04-22
Last Update Date2020-04-22
Business Address
EDWARD BONNER
518 W FLETCHER AVE
TAMPA, FL 33612-3419
Phone number: 813-265-1600
Mailing Address
EDWARD BONNER
3713 HILEMAN DR N
LAKELAND, FL 33810-2690
Phone number: