Doctor Name: | NELO BONOCAN |
NPI Number: | 1760704332 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 40QA01244400 |
Business Practice Address: | 6 Spring Valley Ave Hackensack, NJ - 076013801 |
Business Phone Number: | 2014899555 |
Business Fax Number: | 2014899569 |
Mailing Address: | 6 Srping Valley Avenue, HACKENSACK |
State: | NJ |
Postal Code: | 07601 |
Phone Number: | 2014899555 |
Fax Number: | 2014899569 |
NPI Enumeration Date: | 02/23/2010 |
NPI Last Update Date: | 02/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01244400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |