Individual provider · NPI-1
Melissa Alegre Bondoc
Physical Therapist · Dublin, GA
NPI number1831842954
StatusActive
Last updated in NPPESJan 28, 2022
Details
- NPI
- 1831842954
- Entity type
- Individual (NPI-1)
- Name
- Melissa Alegre Bondoc
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2022
- Certification date
- Jan 27, 2022
- Last updated
- Jan 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT010497 | GA | Yes |
Practice location
323 Trinity RdDublin, GA 31021-0474
Phone 912-245-6211
Mailing address
323 Trinity RdDublin, GA 31021-0474
Phone 912-245-6211
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