Stephen J Bonaccorsi in Wilmington - Physical Therapy Assistant

Stephen J Bonaccorsi - NPI 1063604106

Stephen J Bonaccorsi is a Physical Therapy Assistant in Wilmington, Massachusetts. Stephen J Bonaccorsi practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Stephen J Bonaccorsi is 1063604106. The last update date is 2007-08-13.

Stephen J Bonaccorsi's current location address is 15 Wightman Rd, Wilmington, Massachusetts. You can contact this provider via phone number 9786587742. The mailing address for Stephen J Bonaccorsi is 15 Wightman Rd, Wilmington, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen J Bonaccorsi
Address 15 Wightman Rd, Wilmington, Massachusetts
Phone Number 9786587742
Fax Number
Sole Proprietor N
Credentials L.P.T.A.

NPI Number Detail

NPI Number 1063604106
Provider Enumeration Date 2007-08-13
Last Updated Date 2007-08-13

Provider Mailing Address Detail

Address 15 Wightman Rd
City Wilmington
State Massachusetts (MA)
Post Code 18873757
Phone Number 9786587742
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 3239
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Stephen J Bonaccorsi

What is the unique provider identifier assigned to Stephen J Bonaccorsi?

The Stephen J Bonaccorsi has been issued the NPI (National Provider Identifier) 1063604106 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Stephen J Bonaccorsi's physical address?

The Stephen J Bonaccorsi is physically located at 15 Wightman Rd, in the city of Wilmington, MA, with the postal code 18873757.

What is Stephen J Bonaccorsi's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stephen J Bonaccorsi is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1063604106 to Stephen J Bonaccorsi?

The Stephen J Bonaccorsi received its 1063604106 assignment from the Centers for Medicare & Medicaid Services on 2007-08-13.

When was the information pertaining to Stephen J Bonaccorsi most recently updated or revised?

The details related to Stephen J Bonaccorsi, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-13.

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