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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE BONOMO, PT

Active

JACQUELINE BONOMO, PT is a Physical Therapy Assistant healthcare provider located in HILTON HEAD, South Carolina. NPI 1023188745 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HILTON HEAD, SC

Registration Details

NPI Number
1023188745
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2006 (19.739271875755 yrs)
Last Updated
Jun 15, 2020
License
10200 (SC)

Practice Information

Address
380 LONG COVE DR
HILTON HEAD, SC, 299286143
Browse SC providers · Browse ZIP 29928
Phone
8436452668
Fax
6678877789
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in HILTON HEAD, SC

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.