Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENDOLYN RENEE BONNER
Active Sole ProprietorGWENDOLYN RENEE BONNER is a Physical Therapist Assistant healthcare provider located in EDGEWATER PARK, New Jersey. NPI 1982411385 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · EDGEWATER PARK, NJ
Registration Details
- NPI Number
- 1982411385
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2024 (1.675256304699 yrs)
- Last Updated
- Dec 18, 2024
- License
-
32WG04308000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
837 WOODLANE RDEDGEWATER PARK, NJ, 080101950Browse NJ providers · Browse ZIP 08010
- Phone
- 6095346658
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.