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BONIFACIO WENCESLAO, PT
PT
Physical Therapist
NPI: 1265798086IndividualAccepts Medicare
Specialties, Licenses & Credentials
Contractor
Contractor
Code: 171W00000X
032312(NY)
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
032312(NY)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2004
Contact & Hours
Via practice · 2 locations total
- Address
- 5980 W 71ST ST STE 102
INDIANAPOLIS, IN 46278 - Phone
- (317) 388-0800
Quick Facts
- NPI
- 1265798086
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 22
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