Individual
BONNIE DONAIRE DEL ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1000 LEIGH AVE, ANNA, IL 62906-2232
(618) 833-1506
Mailing address
137 W VIENNA ST APT 2A, ANNA, IL 62906-1656
(618) 697-3606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021275
IL
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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