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LISA MICHELLE BONACCI DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1497701460

Individual Registrant:
 LISA MICHELLE BONACCI DPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
907 EMBARCADERO DR  EL DORADO HILLS, CA 95762-4087 US
Tel: 916-933-1221  Fax: 916-933-0871

Contact information for business:
907 EMBARCADERO DR  EL DORADO HILLS, CA 95762-4087 US
Tel: 916-933-1221  Fax: 916-933-0871

Registration Information:
NPI: 1497701460
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAPT32665

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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