Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carl Joseph Bonanno

Individual provider Physical Therapy Assistant · NPI 1952068306

Carl Joseph Bonanno is a Physical Therapy Assistant in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2021.

Licensed in
AZ
In the registry since
2021
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Practice location Address checks out

11301 N 99th Ave
Peoria, AZ 85345-5466
Phone: (623) 977-9373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (AZ)

Record details

NPI number1952068306
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 19, 2021
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021

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