Individual
ALEXANDER NATHAN BONGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
87 FENTON ST STE 106, LIVERMORE, CA 94550-4159
(925) 373-9394
Mailing address
12447 150TH ST E, NERSTRAND, MN 55053-2233
(507) 649-7832
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16792-24
WI
225100000X
Physical Therapist
Primary
306179
CA
Other
Enumeration date
06/05/2024
Last updated
08/28/2024
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