Organization
INDUSTRICARE PHYSICAL REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FRANCIS BONNER MD (OWNER)
(610) 490-3900
Entity
Organization
Contact information
Practice address
1900 S BROAD ST, PHILADELPHIA, PA 19145-2304
(215) 339-4260
(215) 339-4276
Mailing address
1900 S BROAD ST, PHILADELPHIA, PA 19145-2304
(215) 339-4260
(215) 339-4276
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC029478
PA
208100000X
Physical Medicine & Rehabilitation Physician
MD034149L
PA
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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