Individual
JOSEPH M BONGALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17710 CANYON RD E STE 300, PUYALLUP, WA 98375-2559
(253) 271-3076
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1215167
TX
Other
Enumeration date
11/07/2019
Last updated
09/26/2025
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