Individual
REBECCA BONAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3572 ACACIA AVE, SAN BERNARDINO, CA 92405-2437
(951) 966-2734
Mailing address
3572 ACACIA AVE, SAN BERNARDINO, CA 92405-2437
(951) 966-2734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6667
CA
Other
Enumeration date
10/24/2015
Last updated
10/24/2015
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