Individual
CARL JOSEPH BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 N 99TH AVE, PEORIA, AZ 85345-5466
(623) 977-9373
Mailing address
10714 W WELK DR, SUN CITY, AZ 85373-1841
(623) 330-3502
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
AZ
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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