DAVID ALLEN BONUCHI

COLUMBIA, MO
NPI1912582149
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2020002057)
Enumeration Date2021-03-09
Last Update Date2021-03-09
Business Address
DAVID ALLEN BONUCHI
109 N KEENE ST
COLUMBIA, MO 65201-6725
Phone number: 573-443-2007
Mailing Address
DAVID ALLEN BONUCHI
1618 SKYLANE DR
COLUMBIA, MO 65202-1711
Phone number: