Individual ProviderAshley BonventoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4362 Northlake Blvd, Suite 105, Palm Beach Gardens, FL 33410-6275(561) 625-6860(561) 719-2023PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Bonvento does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1073950903Provider TypeIndividualFull NameBonvento, AshleyTitleMissCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date6/1/2013Last Updated6/1/2013Contact InformationPractice LocationPractice Address4362 Northlake Blvd, Suite 105, Palm Beach Gardens, FL 33410-6275Phone(561) 625-6860FaxUnlisted FaxMailing LocationMailing Address8846 Pioneer Rd, West Palm Beach, FL 33411-4530Phone(561) 719-2023FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense27749Florida