Provider Demographics
NPI:1932310497
Name:BUONOPANE, RACHEL MARGARET (MSPT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARGARET
Last Name:BUONOPANE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 CAMBRIDGE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-2529
Mailing Address - Country:US
Mailing Address - Phone:781-229-0703
Mailing Address - Fax:781-229-0709
Practice Address - Street 1:281 CAMBRIDGE ST STE 101
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-2529
Practice Address - Country:US
Practice Address - Phone:781-229-0703
Practice Address - Fax:781-229-0709
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15553225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist