Black, Bonnie Sue

Black, Bonnie Sue is an individual health care provider with primary practice located at 3720 Queen Ct Sw Ste. 1, Cedar Rapids IA 52404-4735. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Black, Bonnie Sue can be contacted via phone (641) 295-3310.

Contact Information

Primary practice address
3720 Queen Ct Sw Ste. 1 Cedar Rapids IA 52404-4735
Phone: (641) 295-3310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 00305 Iowa

Profile Details

NPI number 1487608220
LBN Legal business name Black, Bonnie Sue
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated May 31st, 2012 - about 13 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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