MR. Richard Anthony Bonomo, PT ASSISTANT

NPI #1952347924 in Sacramento, California

Provider Information

NPI Number: 1952347924
Entity Type: Individual
Name: MR. Richard Anthony Bonomo, PT ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PT ASSISTANT
Enumeration Date: Jun 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2315 STOCKTON BLVD
City: Sacramento
State: California
ZIP Code: 95817-2201
Phone: (916) 734-7040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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