WAYNE G BONKOWSKI

PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC

Dr WAYNE G BONKOWSKI is a male medical professional, specializing in Physical Therapy. He graduated in 2013.

Contact

PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC

4110 MYSTIC VALLEY PKWY
SUITE 12
MEDFORD
MA
021556931

Tel: 7819606030

WAYNE G BONKOWSKI Information

Npi 1871917492
Pac Id 6507083151
Professional Enrollment Id I20140806000161
Last Name BONKOWSKI
First Name WAYNE
Middle Name G
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC
Group Practice Pac Id 7911979950
Number Of Group Practice Members 127
Line 1 Street Address 4110 MYSTIC VALLEY PKWY
Line 2 Street Address SUITE 12
Marker Of Address Line 2 Suppression
City MEDFORD
State MA
Zip Code 021556931
Phone Number 7819606030
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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