| Mckenna Bonamigo, | |
|
2213 Cherry St, Toledo, OH 43608-2603 | |
| (419) 251-4261 | |
| Not Available |
| Full Name | Mckenna Bonamigo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2213 Cherry St, Toledo, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083419253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Mercy Health Physicians North Specialty Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenna Bonamigo, 2213 Cherry St, Toledo, OH 43608-2603 Ph: () - | Mckenna Bonamigo, 2213 Cherry St, Toledo, OH 43608-2603 Ph: (419) 251-4261 |
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