Individual
DON LENNIN BONIFACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
730 JAMAICA BLVD, PLAZA 1, UNIT 21, TOMS RIVER, NJ 08757-3758
(973) 773-9990
(973) 773-7772
Mailing address
730 JAMAICA BLVD, PLAZA 1, UNIT 21, TOMS RIVER, NJ 08757-3758
(973) 773-9990
(973) 773-7772
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00725500
NJ
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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