Individual
DAVID BONCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(317) 250-4336
Mailing address
600 N JORDAN AVENUE, BLOOMINGTON, IN 47405-3191
(317) 250-4336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004834
IN
Other
Enumeration date
02/22/2017
Last updated
02/27/2017
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