Heidi Bonifacio
NPI #1629183439 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1629183439
- Entity Type
- Individual
- Name
- Heidi Bonifacio
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4407 AMARILLO ST
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-5702
- Phone
- (870) 532-2229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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