William Bonavita P.T.

NPI 1013036003 - Physical Therapist - 225100000X

NPI Details
NPI 1013036003
Gender Male
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
28 SHADY LN
WILBRAHAM MA, 01095-2010, US
Phone (413) 599-1545
Fax (413) 599-0445
Business Location
28 SHADY LN
WILBRAHAM MA, 01095-2010, US
Phone (413) 599-1545
Fax (413) 599-0445
Toxanomy
Taxonomy Code 225100000X
License State Massachusetts
License Number 11227
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According to our database, William Bonavita P.T. NPI is 1013036003, taxonomy code is 225100000X and license number is 11227, license state is located at Massachusetts. William Bonavita P.T. physically located at 28 Shady Ln, Wilbraham MA, 01095-2010. NPI Number William Bonavita P.T. has the Individual type.

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1013036003 NPI number is provided on an as is basis without warranty of any kind. 1013036003 is maintained by the National Plan & Provider Enumeration System. The contents of William Bonavita P.T. are for informational purposes only.