Organization
PHYSICAL THERAPY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FRANCIS BONNER MD (PRESIDENT)
(610) 532-2633
Entity
Organization
Contact information
Practice address
1 E BEACON LIGHT LN, CHESTER, PA 19013-4433
(610) 532-2633
Mailing address
PO BOX 374, FOLSOM, PA 19033-0374
(610) 532-2633
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD039149L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009691660001
—
PA
Enumeration date
04/24/2008
Last updated
04/24/2008
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