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Individual

MS. ANDREA BONANNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
15 PARKMAN ST, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-3117
(617) 726-3023
Mailing address
23 HANCOCK ST APT 1, BOSTON, MA 02114-4150

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13078
MA

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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