Individual
MARISTELLA BONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 BUSH RD, JUPITER, FL 33458-5694
(561) 529-4843
Mailing address
9887 BAYWINDS DR APT 4302, WEST PALM BEACH, FL 33411-6304
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25939
FL
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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