Carol Lancaster Bonella, PT

NPI #1578809299 in Fort Ashby, West Virginia

Provider Information

NPI Number: 1578809299
Entity Type: Individual
Name: Carol Lancaster Bonella, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 28, 2012
Last Updated: Dec 28, 2012

Practice Location

Address: 1 DIANE DR
City: Fort Ashby
State: West Virginia
ZIP Code: 26719
Phone: (304) 298-3602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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