Samantha Lynne Bonito, PT, DPT
Physical Therapist in Fairfax, VA. Individual provider (NPI-1).
NPI number1972994580
StatusActive
Last updated in NPPESFeb 18, 2015
Details
- NPI
- 1972994580
- Entity type
- Individual (NPI-1)
- Name
- Samantha Lynne Bonito
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2015
- Last updated
- Feb 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305209261 | VA | Yes |
Practice location
4315 Chain Bridge RdFairfax, VA 22030-3061
Phone 703-934-5059
Mailing address
4315 Chain Bridge RdFairfax, VA 22030-3061
Phone 703-934-5059
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