Individual
NICHOLAS HARRISON BONOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
311 MAIN ST, TERRYVILLE, CT 06786-5928
(860) 506-4124
(860) 845-8197
Mailing address
176 LANING ST, SOUTHINGTON, CT 06489-1603
(860) 540-4184
(860) 736-5013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013271
CT
Other
Enumeration date
10/18/2021
Last updated
12/11/2024
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