Individual
MRS. BONNIDENE MARIE MAGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
18740 W BLUEMOUND RD, BROOKFIELD REHAB & SPECIALTY CARE, BROOKFIELD, WI 53005
(262) 782-0230
(262) 797-8306
Mailing address
18740 W BLUEMOUND RD, BROOKFIELD REHAB & SPECIALTY CARE, BROOKFIELD, WI 53005
(262) 782-0230
(262) 797-8306
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
167019
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40187300
—
WI
Enumeration date
08/24/2007
Last updated
08/24/2007
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