R-Phinne Supena Bonifacio, PT
NPI #1215105317 in Toms River, New Jersey
Provider Information
- NPI Number
- 1215105317
- Entity Type
- Individual
- Name
- R-Phinne Supena Bonifacio, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- PT
- Enumeration Date
- Feb 12, 2008
- Last Updated
- Feb 12, 2008
Practice Location
- Address
- 730 JAMAICA BLVD PLAZA 1
- Address 2
- UNIT 21
- City
- Toms River
- State
- New Jersey
- ZIP Code
- 08757-3758
- Phone
- (732) 349-0008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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