NICHOLAS HARRISON BONOFF

TERRYVILLE, CT
NPI1922761964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: CT  13271)
Enumeration Date2021-10-18
Last Update Date2022-09-08
Business Address
NICHOLAS HARRISON BONOFF DPT
311 MAIN ST
TERRYVILLE, CT 06786-5928
Phone number: 860-506-4124
Mailing Address
NICHOLAS HARRISON BONOFF DPT
176 LANING ST
SOUTHINGTON, CT 06489-1603
Phone number: 860-540-4184