Individual provider · Type 1 NPI
Bonnie Ann Blair
Pediatric Physical Therapist · Somerville, MA
Practice location
61 Medford St
Somerville, MA 02143-3421
Fax (617) 629-4644
Mailing address
26 Gorham Rd, Floor 1
Medford, MA 02155-2272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 2246 (MA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1235312547
Bonnie Ann Blair's National Provider Identifier is 1235312547, issued on Dec 10, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Somerville, MA. The record was last updated on Dec 10, 2007.