Individual
SETH BONIFAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 W BRIDGE RD STE A, POLK CITY, IA 50226-2219
(515) 984-6377
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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