Provider Demographics
NPI:1821612706
Name:BONNER, HELEN ALEXANDRA (DPT)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:ALEXANDRA
Last Name:BONNER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:BONNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ALEX BONNER DPT
Mailing Address - Street 1:HEY CLINIC PA
Mailing Address - Street 2:3320 WAKE FOREST ROAD STE 450
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609
Mailing Address - Country:US
Mailing Address - Phone:919-790-1717
Mailing Address - Fax:
Practice Address - Street 1:HEY CLINIC PA
Practice Address - Street 2:3320 WAKE FOREST ROAD STE 450
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609
Practice Address - Country:US
Practice Address - Phone:919-790-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP19368208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation