Individual
DAVID ALLEN BONUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 N KEENE ST, COLUMBIA, MO 65201-6725
(573) 443-2007
Mailing address
1618 SKYLANE DR, COLUMBIA, MO 65202-1711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2020002057
MO
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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