Individual
TONYA N BONIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSRS
Contact information
Practice address
PO BOX AE, SCAPPOOSE, OR 97056-0700
(615) 604-9121
Mailing address
PO BOX AE, SCAPPOOSE, OR 97056-0700
(615) 604-9121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012218A
IN
225100000X
Physical Therapist
Primary
62688
OR
Other
Enumeration date
02/16/2017
Last updated
06/12/2026
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