Provider Demographics
NPI:1831226836
Name:MOYER, BONNI FINGERHUT (MSPT)
Entity type:Individual
Prefix:MRS
First Name:BONNI
Middle Name:FINGERHUT
Last Name:MOYER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6252 E BEVERLY LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1355
Mailing Address - Country:US
Mailing Address - Phone:602-320-0473
Mailing Address - Fax:480-247-7704
Practice Address - Street 1:6252 E BEVERLY LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1355
Practice Address - Country:US
Practice Address - Phone:602-320-0473
Practice Address - Fax:480-247-7704
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5008174400000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered174400000XOther Service ProvidersSpecialist
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist