Individual
MRS. EVELYN JEAN BONANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
501 W WILLIAMS ST UNIT 346, APEX, NC 27502-1998
(919) 448-6018
Mailing address
6813 CANDLEWOOD DR, RALEIGH, NC 27612-1701
(919) 847-9350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2249
NC
225XP0200X
Pediatric Occupational Therapist
Primary
2249
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134T
BCBS OF NC
NC
Enumeration date
02/07/2007
Last updated
04/27/2026
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