Provider Demographics
NPI:1306014659
Name:PALMATEER, BONNIE RITCHIE (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:RITCHIE
Last Name:PALMATEER
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1477 LOCUSTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-2978
Mailing Address - Country:US
Mailing Address - Phone:803-416-8881
Mailing Address - Fax:
Practice Address - Street 1:1477 LOCUSTWOOD AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2978
Practice Address - Country:US
Practice Address - Phone:803-416-8881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC453225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant