Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOSELITO JIMENEZ BONGCO, PT
Active Sole ProprietorMR. JOSELITO JIMENEZ BONGCO, PT is a Physical Therapy Assistant healthcare provider located in WAUSAU, Wisconsin. NPI 1790900967 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WAUSAU, WI
Registration Details
- NPI Number
- 1790900967
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2007 (19.348337215244 yrs)
- Last Updated
- Oct 27, 2012
- License
-
10462-24 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3312 TERRACE CTWAUSAU, WI, 544014904Browse WI providers · Browse ZIP 54401
- Phone
- 6364517090
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WAUSAU, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. NADA DANIELLE HIEB | PT | 1245280254 |
| MS. CONNIE D GEIGER | PT CHT | 1770533796 |
| DAVID E STUTZRIEM | PT, ATC | 1932149168 |
| MR. ANDREW BRIAN DAVIS | MSPT LAT | 1780627083 |
| MISS MEGAN LORENE STANKOWSKI | DPT, LAT | 1407890312 |
| SUSAN M. RICE | P.T. | 1851316301 |
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.