Individual
MR. TIMOTHY D BONACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT DOMPCC
Contact information
Practice address
6189 LEHMAN DR STE 202, COLORADO SPRINGS, CO 80918-5409
(719) 694-8342
(719) 694-8347
Mailing address
6189 LEHMAN DR STE 202, COLORADO SPRINGS, CO 80918-5409
(719) 694-8342
(719) 694-8347
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2373
CO
Other
Enumeration date
04/05/2006
Last updated
10/05/2018
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