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Contact Information

TIMOTHY D BONACK, PT DOMPCC
6189 LEHMAN DR STE 202
COLORADO SPRINGS, CO80918-5409
 Phone: 719-694-8342
 Fax: 719-694-8347
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TIMOTHY D BONACK · (Male)

NPI Number 1609838432
Status Active
Credentials PT DOMPCC
Entity Individual
Enumeration date 04/05/2006
Last updated 10/05/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 2373
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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