MR. Jordan Joseph Bonfiglio, DPT

NPI #1396361655 in Hammond, Louisiana

Provider Information

NPI Number: 1396361655
Entity Type: Individual
Name: MR. Jordan Joseph Bonfiglio, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 23, 2020
Last Updated: Jun 23, 2020

Practice Location

Address: 1100 C M FAGAN DR STE 103
City: Hammond
State: Louisiana
ZIP Code: 70403-5963
Phone: (985) 542-6664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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