Provider Demographics
NPI:1568887511
Name:HEIER, BONNIE I (DPT)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:
Last Name:HEIER
Suffix:I
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7771 W OAKLAND PARK BLVD STE 105F
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6749
Mailing Address - Country:US
Mailing Address - Phone:754-900-9835
Mailing Address - Fax:877-398-0628
Practice Address - Street 1:7771 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6749
Practice Address - Country:US
Practice Address - Phone:754-900-9835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL28993225100000X
FL29883225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist