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MS. BONNIE LOUISE BIRD-LOEFFLER LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1891896916

Individual Registrant:
MS. BONNIE LOUISE BIRD-LOEFFLER LMT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
417 WEST RIVER RD  PALATKA, FL 32177 US
Tel: 386-325-6538  Fax: 386-325-6538

Contact information for business:
417 WEST RIVER RD  PALATKA, FL 32177 US
Tel: 386-325-6538  Fax: 386-325-6538

Registration Information:
NPI: 1891896916
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA31585

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS OF FLC1168FL01




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