Provider Demographics
NPI:1891255527
Name:BONDOC, RIZALINA (PT)
Entity Type:Individual
Prefix:
First Name:RIZALINA
Middle Name:
Last Name:BONDOC
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 CHATTERLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-9118
Mailing Address - Country:US
Mailing Address - Phone:704-690-0000
Mailing Address - Fax:
Practice Address - Street 1:2051 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-3203
Practice Address - Country:US
Practice Address - Phone:704-694-4106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC115872251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics