Individual
COLIN BONFIGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 21ST AVE S, SUITE, 9211, NASHVILLE, TN 37232-8590
(615) 936-5040
Mailing address
1215 21ST AVE S, SUITE, 9211, NASHVILLE, TN 37232-8590
(615) 936-5040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3649
TN
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
—
225XR0403X
Driving and Community Mobility Occupational Therapist
—
—
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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