IndividualActive
Alfea Marie Bongco, PTA
NPI 1689192171 · Physical Therapy Assistant · Wilmington, DE
Provider details
- NPI number
- 1689192171
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- J2-0001068 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
810 S Broom St
Wilmington, DE 19805-4245
Phone: (302) 652-1181
Approximate (ZIP-level) locationGet directions
Mailing address
104 Buckson Ct
Bear, DE 19701-3056
Registry dates
- Enumerated
- 2017-09-05
- Last updated
- 2017-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.