Individual
JONELLE CLARICIA BEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 BACON ST, DURHAM, NC 27703-5006
(919) 560-2000
Mailing address
808 BACON ST, DURHAM, NC 27703-5006
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14264
NC
225X00000X
Occupational Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/06/2020
Last updated
04/09/2026
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