Individual
STEPHEN J BONACCORSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.T.A.
Contact information
Practice address
15 WIGHTMAN RD, WILMINGTON, MA 01887-3757
(978) 658-7742
Mailing address
15 WIGHTMAN RD, WILMINGTON, MA 01887-3757
(978) 658-7742
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3239
MA
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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