Individual
WILLA BONZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
327 ALLISON LN, BASALT, CO 81621-8101
(970) 729-0387
Mailing address
327 ALLISON LN, BASALT, CO 81621-8101
(970) 729-0387
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0006264
CO
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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