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Bonnie Anne Nezlick

Physical Therapist in New Providence, NJ. Individual provider (NPI-1).

NPI number1164050233
StatusActive
Last updated in NPPESApr 1, 2020

Details

NPI
1164050233
Entity type
Individual (NPI-1)
Name
Bonnie Anne Nezlick
Sex
Female
Sole proprietor
No
Enumeration date
Apr 1, 2020
Certification date
Apr 1, 2020
Last updated
Apr 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist40QA00624200NJYes
235Z00000X Speech-Language Pathologist,41YS00928700NJ

Practice location

550 Central Ave
New Providence, NJ 07974-1505

Phone 908-522-2215 · Fax 908-522-0764

Mailing address

550 Central Ave
New Providence, NJ 07974-1505

Phone 908-522-2215 · Fax 908-522-0764

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Other Physical Therapist providers in New Providence, NJ

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