Grace Bonus

NPI #1043769821 in Woodhaven, New York

Provider Information

NPI Number: 1043769821
Entity Type: Individual
Name: Grace Bonus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 22, 2016
Last Updated: Sep 22, 2016

Practice Location

Address: 7907 JAMAICA AVE
City: Woodhaven
State: New York
ZIP Code: 11421-1142
Phone: (347) 494-5684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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