Bonner, Randi Cheryl

Bonner, Randi Cheryl is an individual health care provider with primary practice located at 1057 S Florida Ave , Lakeland FL 33803-1114. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bonner, Randi Cheryl can be contacted via phone (863) 617-9400.

Contact Information

Primary practice address
1057 S Florida Ave Lakeland FL 33803-1114
Phone: (863) 617-9400
Fax: (863) 688-9858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT14391 Florida

Profile Details

NPI number 1013987338
LBN Legal business name Bonner, Randi Cheryl
Credentials PT CWS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Apr 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013987338 NPPES
Florida Other PT14391 PT LICENSE

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