Provider Demographics
NPI:1891743977
Name:BOND, BETH A (ATC)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:A
Last Name:BOND
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:HOLMES
Mailing Address - State:PA
Mailing Address - Zip Code:19043-1404
Mailing Address - Country:US
Mailing Address - Phone:610-597-1983
Mailing Address - Fax:
Practice Address - Street 1:515 PENNSYLVANIA AVE STE 201C
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-3316
Practice Address - Country:US
Practice Address - Phone:215-641-1422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART000969A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer