Individual
REBECCA LYNN BONAGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
400 W CUMMINGS PARK, SUITE3950, WOBURN, MA 01801-6519
(800) 451-9101
Mailing address
563 DUBOIS RD., WALLKILL, NY 12589
(845) 674-1441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013318-1
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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