Carl Joseph Bonanno

NPI #1952068306 in Peoria, Arizona

Provider Information

NPI Number: 1952068306
Entity Type: Individual
Name: Carl Joseph Bonanno
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 19, 2021
Last Updated: Nov 19, 2021

Practice Location

Address: 11301 N 99TH AVE
City: Peoria
State: Arizona
ZIP Code: 85345-5466
Phone: (623) 977-9373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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