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Contact Information

RYAN BONNER
5300 HICKORY PARK DR STE 110
GLEN ALLEN, VA23059-2629
 Phone: 804-270-7754
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RYAN BONNER · (Male)

NPI # 1275421919
Status Active
Credentials
Entity Individual
Enumeration date 06/24/2025
Last updated 06/24/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • VA License # 2305217164
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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