Individual
DR. CARLA BONFITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01365000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01365000
NEW JERSEY STATE BOARD
NJ
Enumeration date
08/16/2010
Last updated
08/02/2017
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