National Provider Identifier
Bonnie Ellen Basom, PT
Bonnie Ellen Basom, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 463-2627.
Profile Overview
- NPI
- 1790963700
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 01, 2008
- Last Updated
- February 01, 2008
Practice Location
- 465 Westfall RD
- Rochester, NY 14620-4645
Phone: (585) 463-2627
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1790963700
- Entity Type
- Individual
- Last Name
- Basom
- First Name
- Bonnie
- Middle Name
- Ellen
- Name Prefix
- MS.
- Credential
- PT
- Mailing Street Address
- 465 Westfall RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4645
- Mailing Country
- US
- Mailing Phone
- (585) 463-2627
- Practice Street Address
- 465 Westfall RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4645
- Practice Country
- US
- Practice Phone
- (585) 463-2627
- Enumeration Date
- February 01, 2008
- Last Updated
- February 01, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Physical Therapist (225100000X)