Individual
BONARO WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3111 HEATH AVE, BRONX, NY 10463-5833
(347) 324-7012
Mailing address
3111 HEATH AVE, BRONX, NY 10463-5833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7331
NY
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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