Individual
RONA BONGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
975 N 5TH AVE, ST CHARLES, IL 60174-1299
(630) 443-8220
Mailing address
6S001 STEEPLE RUN DR, NAPERVILLE, IL 60540-3713
(773) 682-2086
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001848
IL
Other
Enumeration date
06/12/2013
Last updated
10/23/2018
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