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Carly Bonner, LAT,ATC
Student in an Organized Health Care Education/Training Program in Laurel, Maryland
NPI 1174006753

Carly Bonner is a Student in an Organized Health Care Education/Training Program based in Baltimore, MD. Carly Bonner practices in Laurel, MD and has the professional credentials of LAT,ATC. The NPI Number for Carly Bonner is 1174006753 and holds a License No. (Maryland).

The current practice location address for Carly Bonner is 14700 Baltimore Ave Unit 106, Laurel, MD and can be reached out via phone at 267-535-0473. You can also correspond with Carly Bonner through the mailing address at 6926 10 TIMBERS LN, BALTIMORE, MD - 21209-1637 (mailing address contact number: 267-535-0473).

Location: 14700 Baltimore Ave Unit 106, Laurel, MD, 21209-1637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174006753
Provider Name
Carly Bonner
Credential
LAT,ATC
Provider Entity Type
Individual
Gender
Female
Address
14700 Baltimore Ave Unit 106, Laurel, MD, 21209-1637
Phone Number
267-535-0473
Fax Number
Provider Enumeration Date
09/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14700 Baltimore Ave Unit 106
City
Laurel
State
Maryland
Zip
20707-4878
Phone Number
267-535-0473
Fax Number
person
Provider Business Mailing Address Details
Address
14700 Baltimore Ave Unit 106
City
Laurel
State
Maryland
Zip
20707-4878
Phone Number
267-535-0473
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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