Provider Demographics
NPI:1154467355
Name:BONE, GLORIA J (PT)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:J
Last Name:BONE
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:380 LA HACIENDA DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN ROCKS BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33785-3715
Mailing Address - Country:US
Mailing Address - Phone:727-582-9665
Mailing Address - Fax:727-582-9865
Practice Address - Street 1:1725 E BAY DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-2208
Practice Address - Country:US
Practice Address - Phone:727-582-9665
Practice Address - Fax:727-582-9865
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FL33672251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics