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

Individual provider Physical Therapy Assistant · NPI 1952015927

Jessica Nicole Bonoan is a Physical Therapy Assistant in Granada Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

11022 Balboa Blvd
Granada Hills, CA 91344-5007
Phone: (818) 217-4482
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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 · Licence 52133 (CA)

Record details

NPI number1952015927
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2023
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 12, 2023

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