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NPI Code Detail

MEDICARE: BONNETTE ELITE PHYSICAL THERAPY AND WELLNESS

MEDICARE: BONNETTE ELITE PHYSICAL THERAPY AND WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1891141362
Entity Type Code : Organization
Provider Name (Legal Business Name) : BONNETTE ELITE PHYSICAL THERAPY AND WELLNESS
Provider Business Mailing Address
First Line : 9660 BARTLETT CIR STE 708
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4465
Country : US
Telephone Number : 817-862-9665
Fax Number : 817-862-9667
Provider Business Practice Location Address
First Line : 9660 BARTLETT CIR STE 708
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4465
Country : US
Telephone Number : 817-862-9665
Fax Number : 817-862-9667
Authorized Official
Title or Position : OWNER
Name : ALEX J BONNETTE
Credential : P.T.
Telephone Number : 817-862-9665
Provider Enumeration Date : 05/13/2016
Last Update Date : 01/13/2021

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Directions to “BONNETTE ELITE PHYSICAL THERAPY AND WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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