Individual provider · Type 1 NPI

Bonnie D'mello, PT

Pediatric Physical Therapist · Medford, OR

NPI number 1508995010 Active

Practice location

945 S Riverside Ave
Medford, OR 97501-7841

Mailing address

100 E Main St, Suite C
Medford, OR 97501-6041

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X3241 (OR)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1508995010

Bonnie D'mello, PT's National Provider Identifier is 1508995010, issued on Mar 2, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Medford, OR. The record was last updated on Jul 8, 2007.