Provider Demographics
NPI:1902264120
Name:BONVINI, CHIARA (MS PT)
Entity Type:Individual
Prefix:
First Name:CHIARA
Middle Name:
Last Name:BONVINI
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 HINANO ST # B
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-4362
Mailing Address - Country:US
Mailing Address - Phone:808-728-9162
Mailing Address - Fax:
Practice Address - Street 1:1350 S KING ST STE 307
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2008
Practice Address - Country:US
Practice Address - Phone:808-809-8057
Practice Address - Fax:808-946-9559
Is Sole Proprietor?:No
Enumeration Date:2016-02-02
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-4112225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist