Provider Demographics
NPI:1235667395
Name:CARDONE, BONNIE MAREE (PT)
Entity Type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:MAREE
Last Name:CARDONE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17519 TREE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:MOSELEY
Mailing Address - State:VA
Mailing Address - Zip Code:23120-2257
Mailing Address - Country:US
Mailing Address - Phone:318-349-4663
Mailing Address - Fax:
Practice Address - Street 1:2027 LAUDERDALE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23238-3940
Practice Address - Country:US
Practice Address - Phone:804-421-5250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305208330225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist