Individual provider · Type 1 NPI

Carly Bonner, LAT, ATC

Student in an Organized Health Care Education/Training Program · Laurel, MD

NPI number 1174006753 Active

Practice location

14700 Baltimore Ave Unit 106
Laurel, MD 20707-4878

Call (267) 535-0473 Map

Mailing address

6926 10 Timbers Ln
Baltimore, MD 21209-1637

Other practice locations

  • 7800 York Rd, Towson, MD 21204-7450 · (410) 704-2000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5 other providers at this address

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About NPI 1174006753

Carly Bonner, LAT, ATC's National Provider Identifier is 1174006753, issued on Sep 10, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Laurel, MD. The record was last updated on Sep 11, 2025.